Pediatrics First Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202003950 Issued in VA

Legal business name

PEDIATRICS FIRST SPEECH THERAPY

Practice address

10056 Pentland Hills Way
Bristow, VA 20136

Phone

(703) 367-0400

Fax

(703) 880-7411

NPI assigned

Feb 24, 2009

Organization subpart

No

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

Authorized official

Name

Gaye Michelle Stewart-Tooson, M.A.CCC-SLP

Title

Director/Lead Therapist

Phone

(703) 367-0400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1477793966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12841 BRAEMAR VILLAGE PLAZA 132 BRISTOW",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "20136",
            "telephone_number": "703-367-0400",
            "fax_number": "703-880-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10056 PENTLAND HILLS WAY",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "20136",
            "telephone_number": "703-367-0400",
            "fax_number": "703-880-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS FIRST SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "STEWART-TOOSON",
        "authorized_official_first_name": "GAYE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR/LEAD THERAPIST",
        "authorized_official_telephone_number": "703-367-0400",
        "authorized_official_credential": "M.A.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christen Panissidi, LCSW
• Navnit R Patel
• Patricia Clubb OD PLLC
• Patricia Clubb OD PLLC
• Deandra Lynn Payne-Allen, LPC
• Kathleen Lucy Persson, LCSW
• Elvia Del Carmen Pina, LPC
• Steve Thomas Pleickhardt, DDS
• Evelyn Poku-Kwateng, D.D.S.
• Erica Potter, PHARMD

• Speech-Language Pathologist in Bristow, VA
• Providers in Bristow, 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 24, 2009; 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.