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Contact Information

MADELINE LILLIS, M.S. CCC-SLP
CENTRAL OFFICE ADDRESS
100 PARK CENTRAL PLAZA SUITE 300
MANASSAS, VA20111
 Phone: 703-392-1317
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MADELINE LILLIS · (Female)

NPI # 1760100838
Status Active
Credentials M.S. CCC-SLP
Entity Individual
Enumeration date 08/16/2022
Last updated 08/16/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 2202010486
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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