Brandon Corry

Individual provider Active NPI Speech-Language Assistant · Manassas Park, VA

NPI 1023923265 · NPPES record last updated Aug 14, 2026

Key facts

NPI
1023923265
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
SI7500 (FL)
Practice address
9110 Railroad Dr Ste 150a
Manassas Park, VA 20111-7008
Phone
(571) 570-1839
NPI assigned
Aug 14, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI7500 FL Yes

Addresses

Primary practice location

9110 Railroad Dr Ste 150a
Manassas Park, VA 20111-7008

Mailing address

9110 Railroad Dr Ste 150a
Manassas Park, VA 20111-7008
Phone (571) 570-1839

Other providers in Manassas Park, VA

All providers in Manassas Park, VA · Speech-Language Assistant in Virginia

Sources for this page

Verify at the official NPI Registry.