Organization Active NPI

Speech and Language Center of Northern Virginia

  • Hearing and Speech Clinic/Center
  • MC Lean, VA
National Provider Identifier
1669012803
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
SPEECH AND LANGUAGE CENTER OF NORTHERN VIRGINIA
Practice address
1125 Savile LN
MC Lean, VA 22101-1833
Phone
(571) 331-2855
NPI assigned
Jan 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Mrs. Susan Theresa Lyons, MA, CCC-SLP
Title
Director of Speech-Language Service
Phone
(703) 356-2833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

1125 Savile LN
MC Lean, VA 22101-1833

Mailing address

1125 Savile LN
MC Lean, VA 22101-1833
Phone (571) 331-2855

National Provider Directory

National Provider Directory

Locations

1125 Savile Ln
Mc Lean, VA 22101
Phone (571) 331-2855

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1669012803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 SAVILE LN",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221011833",
            "telephone_number": "571-331-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SAVILE LN",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221011833",
            "telephone_number": "571-331-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AND LANGUAGE CENTER OF NORTHERN VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "DIRECTOR OF SPEECH-LANGUAGE SERVICE",
        "authorized_official_telephone_number": "703-356-2833",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.