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Contact Information

DEBORAH R ACEVEDO BUSTAMANTE, CCC-SLP
7600 LEESBURG PIKE STE 105-EAST
FALLS CHURCH, VA22043-2004
 Phone: 757-490-3223
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for DEBORAH R ACEVEDO BUSTAMANTE · (Female)

NPI Number 1194394361
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 06/22/2021
Last updated 06/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 2204000679
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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