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NICOLE ELIZABETH HERNDON CCC-SLP

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

Registrant NPI Number: 1225493802

Individual Registrant:
 NICOLE ELIZABETH HERNDON CCC-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
11150 FAIRFAX BLVD SUITE 500 FAIRFAX, VA 22030-5066 US
Tel: 703-537-0373  Fax: 703-865-7379

Contact information for business:
11150 FAIRFAX BLVD SUITE 500 FAIRFAX, VA 22030-5066 US
Tel: 703-537-0373  Fax: 703-865-7379

Registration Information:
NPI: 1225493802
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
VA2202007760

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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