Provider Demographics
NPI:1386100550
Name:CLEARLY SPEAKING SPEECH AND LANGUAGE LLC
Entity type:Organization
Organization Name:CLEARLY SPEAKING SPEECH AND LANGUAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:FRANCINE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CCC-SLP
Authorized Official - Phone:703-581-2605
Mailing Address - Street 1:12157 PURPLE SAGE CT
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20194-5622
Mailing Address - Country:US
Mailing Address - Phone:703-581-2605
Mailing Address - Fax:
Practice Address - Street 1:209 ELDEN ST STE 204
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4846
Practice Address - Country:US
Practice Address - Phone:703-435-0488
Practice Address - Fax:571-323-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty