Gorecke, Tai Michelle

Gorecke, Tai Michelle is an individual health care provider with primary practice located at 1936 Opitz Blvd , Woodbridge VA 22191-3360. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gorecke, Tai Michelle can be contacted via phone (703) 687-5875.

Contact Information

Primary practice address
1936 Opitz Blvd Woodbridge VA 22191-3360
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202008253 Virginia

Profile Details

NPI number 1790138170
LBN Legal business name Gorecke, Tai Michelle
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2016
Last updated Jul 20th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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