Jennifer Denise Free in Annandale - Speech-language Pathologist

Jennifer Denise Free - NPI 1134179757

Jennifer Denise Free is a Speech-language Pathologist in Annandale, Virginia. Jennifer Denise Free practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jennifer Denise Free is 1134179757. The last update date is 2022-07-21.

Jennifer Denise Free's current location address is 6920 Braddock Road, Annandale, Virginia. You can contact this provider via phone number 7039103321. The mailing address for Jennifer Denise Free is 6920 Braddock Road, Annandale, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Denise Free
Address 6920 Braddock Road, Annandale, Virginia
Phone Number 7039103321
Fax Number
Sole Proprietor N
Credentials M.ED. CCC-

NPI Number Detail

NPI Number 1134179757
Provider Enumeration Date 2006-05-12
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 6920 Braddock Road
City Annandale
State Virginia (VA)
Post Code 22003
Phone Number 7039103321
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 2202005653
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2202005653 VA STATE LICENSE
9141803 ASHA CERTIFICATION

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FAQs about Jennifer Denise Free

What is the unique identification code assigned to Jennifer Denise Free by the Centers for Medicare & Medicaid Services?

The Jennifer Denise Free has been issued the NPI (National Provider Identifier) 1134179757. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jennifer Denise Free is located?

The Jennifer Denise Free is situated at the following address: 6920 Braddock Road, Annandale, VA, 22003.

What is the area of specialization for Jennifer Denise Free, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jennifer Denise Free is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of expertise is 235Z00000X.

On what date did Jennifer Denise Free receive its 1134179757 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer Denise Free was assigned its 1134179757 on 2006-05-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Jennifer Denise Free most recently updated or revised?

The information pertaining to Jennifer Denise Free, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.

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