Individual
MS. SUSAN HOPE TIBBETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11240 WAPLES MILL RD, SUITE 101, FAIRFAX, VA 22030-6078
(703) 237-2219
(703) 237-2729
Mailing address
11240 WAPLES MILL RD, SUITE 101, FAIRFAX, VA 22030-6078
(703) 237-2219
(703) 237-2729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006450
VA
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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