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NPI Code Detail

MEDICARE: ROBYN AYN THOMSON MS, CCC-SLP

MEDICARE: ROBYN AYN THOMSON MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2202003771VA

General Provider Information

NPI Number : 1659405736
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBYN AYN THOMSON MS, CCC-SLP
Provider Business Mailing Address
First Line : 344 DEER PATH AVE SW
Second Line :
City : LEESBURG
State : VA
Zip : 20175-2513
Country : US
Telephone Number : 703-431-4722
Fax Number :
Provider Business Practice Location Address
First Line : 20535 EARHART PL
Second Line :
City : STERLING
State : VA
Zip : 20165-3581
Country : US
Telephone Number : 703-404-5223
Fax Number : 703-404-5206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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