Gregory Anderson, M.S.
Individual provider Active NPI Speech-Language Pathologist · Centreville, VA
NPI 1457532673 · NPPES record last updated Nov 15, 2007
Key facts
- NPI
- 1457532673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202004541 (VA)
- Practice address
- 6011 Rockton CT
Centreville, VA 20121-3083 - Phone
- (703) 209-0241
- Fax
- (703) 266-3403
- NPI assigned
- Nov 15, 2007
- Sex
- Male
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202004541 | VA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202004541 | VA | Yes |
Addresses
Primary practice location
6011 Rockton CT
Centreville, VA 20121-3083
Mailing address
6011 Rockton CT
Centreville, VA 20121-3083
Phone (703) 209-0241
Other providers in Centreville, VA
- Barbra Almond
- Jesenia Alonso Arevalo
- Sarah Leann Alvarez
- Abdul Jamil Aman
- John Amantea
- Phyllis Margo Anderson
- Aniqa Zaheer DDS PLLC
- Aniqa Zaheer DDS PLLC
- Anncolter H Cheron DMD Ms PLLC
- Adwoa Ansu-Anin
All providers in Centreville, 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 Nov 15, 2007. 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.