Individual
MS. TERRI LEE WEATHERHOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-5699
Mailing address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-5699
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001685
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4978277
—
VA
Enumeration date
06/29/2007
Last updated
07/08/2007
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