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Contact Information

CHERYL BLY, CCC-SLP
12074 JAMES MADISON ST
REMINGTON, VA22734-2167
 Phone: 540-422-7630
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for CHERYL BLY · (Female)

NPI Number 1174171656
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 08/28/2019
Last updated 08/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 2202009231
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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