Amanda K. Delong, M.S CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202006014 Issued in VA

Practice address

6506 Loisdale Rd
Suite 300
Springfield, VA 22150-1824

Phone

(703) 924-4100

Fax

(703) 922-5048

NPI assigned

May 25, 2010

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 Science

State licenses

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1982923264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 LOISDALE RD",
            "address_2": "SUITE 300",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501824",
            "telephone_number": "703-924-4100",
            "fax_number": "703-922-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 LOISDALE RD",
            "address_2": "SUITE 300",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501824",
            "telephone_number": "703-924-4100",
            "fax_number": "703-922-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONG",
        "first_name": "AMANDA",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Degrazia, M.D.
• Deanna Degregoris
• Samantha Lee Dejesus, LCSW
• Joseph Delgado, RBT
• Kyle Mel Skrzysinski Delin
• Karalynne Deltoro, MS
• Eda Patricia Demetrius, DDS
• John Paul Demorro Jr., DDS
• Elena Denisko, PHARM.D.
• Conrad E Dennis, LCSW

• Speech-Language Pathologist in Springfield, VA
• Providers in Springfield, 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 Apr 11, 2013; 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.