Park, Patricia S.

Park, Patricia S. is an individual health care provider with primary practice located at 3750 Joseph Siewick Dr , Fairfax VA 22033-1742. 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. Park, Patricia S. can be contacted via phone (703) 391-1026.

Contact Information

Primary practice address
3750 Joseph Siewick Dr Fairfax VA 22033-1742
Phone: (703) 391-1026
Fax: (703) 391-1027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202-003368 Virginia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 03053 Maryland

Profile Details

NPI number 1164424883
LBN Legal business name Park, Patricia S.
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Oct 23rd, 2010 - about 14 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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