Katherine Jefferson, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Stafford, VA
NPI 1265729503 · NPPES record last updated Jul 7, 2011
Key facts
- NPI
- 1265729503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22026210 (VA)
- Practice address
- 2765 Jefferson Davis Hwy
Suite 209
Stafford, VA 22554-8331 - Phone
- (540) 720-2261
- Fax
- (540) 720-5660
- NPI assigned
- Jul 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22026210 | VA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22026210 | VA | Yes |
Addresses
Primary practice location
2765 Jefferson Davis Hwy
Suite 209
Stafford, VA 22554-8331
Mailing address
13890 Braddock Rd
Suite 205
Centreville, VA 20121-2435
Phone (540) 720-2261
Other providers in Stafford, VA
- Tricia Jeneen Jackson
- Heather Renee Cox Jacobs
- Katie Marie Jagmin
- Hawah Nenneh Jalloh
- Abigail Daria James
- Jenise M. Mancini O.D., P.C.
- Kaylin Renee Jennings-Knight
- Brian Peter Jennings
- Jeran Health Care Services, LLC
- Angel Karisma Joel
All providers in Stafford, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.