Organization
SHINE SPEECH AND FEEDING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA HEVENER MA, CCC-SLP (OWNER)
(703) 936-7709
Entity
Organization
Contact information
Practice address
24600 MILLSTREAM DR # 435, ALDIE, VA 20105-3511
(703) 936-7709
Mailing address
24600 MILLSTREAM DR # 435, ALDIE, VA 20105-3511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/05/2022
Last updated
03/05/2022
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