Provider Demographics
NPI:1386271401
Name:LIGON, CLAIRE WOODFIN (MED, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:WOODFIN
Last Name:LIGON
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-3810
Mailing Address - Country:US
Mailing Address - Phone:434-390-6387
Mailing Address - Fax:
Practice Address - Street 1:6420 ROCKLEDGE DR STE 4920
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-7848
Practice Address - Country:US
Practice Address - Phone:301-896-3330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202006912235Z00000X
MD09343235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist