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AMY LYNN HASSELKUS CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1104861749

Individual Registrant:
 AMY LYNN HASSELKUS CCC-SLP
Gender: F

Location and contact information for practice:
4808 ALLENBY RD  FAIRFAX, VA 22032-2301 US
Tel: 703-425-5933  Fax: 301-897-7354

Contact information for business:
4808 ALLENBY RD  FAIRFAX, VA 22032-2301 US
Tel: 703-425-5933  Fax: 301-897-7354

Registration Information:
NPI: 1104861749
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
VA2202004304

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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