Healthcare Provider Details

I. General information

NPI: 1376267104
Provider Name (Legal Business Name): ADRIANA MAHOOD M.S. SLP-CF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8315 TURNING LEAF LN
MC LEAN VA
22102-2615
US

IV. Provider business mailing address

7412 GARY ST
SPRINGFIELD VA
22150-4103
US

V. Phone/Fax

Practice location:
  • Phone: 571-662-5825
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number120329
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202012659
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: