Theresa Marie Dodd, THERESA DODD, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005916 Issued in VA

Practice address

1495 Chain Bridge Rd
Suite 100
MC Lean, VA 22101-5727

Phone

(571) 633-0770

Fax

(571) 633-9666

NPI assigned

Nov 5, 2009

Last updated

Nov 5, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1750618187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 S BALL ST",
            "address_2": "APT. 206",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222024426",
            "telephone_number": "908-507-6481",
            "fax_number": "571-633-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 CHAIN BRIDGE RD",
            "address_2": "SUITE 100",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015727",
            "telephone_number": "571-633-0770",
            "fax_number": "571-633-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "THERESA DODD, M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in McLean, VA
• Providers in McLean, 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 Nov 5, 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.