Individual
SWETHA BATHINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8124 PRESCOTT DR APT 204, VIENNA, VA 22180-7434
(804) 655-9186
Mailing address
8124 PRESCOTT DR APT 204, VIENNA, VA 22180-7434
(804) 655-9186
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202011678
VA
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
04/10/2026
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