Speech Therapists of Old Town

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202003958 Issued in VA

Legal business name

SPEECH THERAPISTS OF OLD TOWN

Practice address

700 Princess St
#202
Alexandria, VA 22314-2268

Phone

(703) 535-7841

Fax

(703) 535-7842

NPI assigned

Sep 4, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer R. Lafreniere, MA CCC-SLP

Title

Owner

Phone

(703) 535-7841

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Wendy Marie Delos Reyes, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Alexandria, VA
  • NPI 1073858510
  NPD (past)

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1245589407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PRINCESS ST",
            "address_2": "#202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142268",
            "telephone_number": "703-535-7841",
            "fax_number": "703-535-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PRINCESS ST",
            "address_2": "#202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142268",
            "telephone_number": "703-535-7841",
            "fax_number": "703-535-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPISTS OF OLD TOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "LAFRENIERE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-535-7841",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Spears, PSYD
• Yvette Ginell Spears, CMT, CLC
• Jerome W Spechler, D.D.S.
• Spectera
• Spectrum Pediatrics
• Alison Speich
• William Speidel, PT, DPT
• Ashley Spellman
• Autumn Spence, AGPCNP-BC
• Erica A Spence, R.N.

• Speech-Language Pathologist in Alexandria, VA
• Providers in Alexandria, 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 Sep 4, 2012; 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.