Breanne Metz, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Penn Laird, VA

NPI 1962880971 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1962880971
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
22020007457 (VA)
Practice address
118 David Cir
Penn Laird, VA 22846-2039
Phone
(703) 609-9050
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
22020007457VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Words Speech Therapy LLC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22020007457 VA Yes

Addresses

Primary practice location

118 David Cir
Penn Laird, VA 22846-2039

Mailing address

118 David Cir
Penn Laird, VA 22846-2039
Phone (703) 609-9050

Other practice location 1

606 Sherburn Ct
Orlando, FL 32828-9017
Phone (407) 883-8636

Other providers in Penn Laird, VA

All providers in Penn Laird, VA · Speech-Language Pathologist in Virginia

Sources for this page

Verify at the official NPI Registry.