The Speech Village, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

THE SPEECH VILLAGE, PLLC

Practice address

3050 Silent Valley Dr
Fairfax, VA 22031-2043

Phone

(703) 828-5226

NPI assigned

Feb 7, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erin Kelly McCollom, MS, CCC-SLPNPI 1770134074

Title

Ceo

Phone

(703) 828-5226

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Kelly McCollom, MS, CCC-SLP

  • Speech-Language Pathologist
  • Fairfax, VA
  • NPI 1770134074
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1073210332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 NUTLEY ST # 185",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 SILENT VALLEY DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312043",
            "telephone_number": "703-828-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH VILLAGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "MCCOLLOM",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-828-5226",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.