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Contact Information

MARIANNE K BARDWELL, MS CCC SLP
19465 DEERFIELD AVE
SUITE 201
LANSDOWNE, VA20176-8446
 Phone: 703-858-7620
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MARIANNE K BARDWELL · (Female)

NPI # 1043425408
Status Active
Credentials MS CCC SLP
Entity Individual
Enumeration date 05/11/2007
Last updated 06/11/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 2202001515
  • VA Medicaid 4978196
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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