Willis, Tara Leigh
Willis, Tara Leigh is an sole proprietor health care provider with primary practice located at 603 Buchanan Ct Se , Leesburg VA 20175-5602. 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. Willis, Tara Leigh can be contacted via phone (703) 431-1499.Contact Information
Primary practice address
603 Buchanan Ct Se
Leesburg VA 20175-5602
Phone: (703) 431-1499
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2202005373 | Virginia |
Profile Details
| NPI number | 1114134848 |
|---|---|
| LBN Legal business name | Willis, Tara Leigh |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2007 |
| Last updated | Jun 8th, 2021 - about 4 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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