PROFESSIONAL ADULT AND SCHOOL AGE SPEECH SERVICES, LLC (NPI# 1790391126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790391126 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL ADULT AND SCHOOL AGE SPEECH SERVICES, LLC |
| Practice Address |
15792 Beau Ridge Dr Woodbridge VA 22193-1028 |
| Practice Telephone | 5402221424 |
| Mailing Telephone | 5402206194 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | MRS. ALLANNA HARRISON (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 5402221424 |
| Authorized Official Credential | CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| P.A.S.S. Services, LLC | Doing Business As Name - Organization |
| Street Address |
15792 BEAU RIDGE DR |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22193-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
| 1982111449 | Frances Davis | Social Worker | 4196 Merchant Plaza Apt 632, Woodbridge, VA 22193 | 2018-01-05 |
| 1427421627 | Woodbridge Therapy Group LLC | Counselor | 12721 Darby Brooke Ct., Suite 102, Woodbridge, VA 22193 | 2015-11-10 |
| 1972981090 | Lifeline Home Health Inc | Community/Behavioral Health | 4309 Kenwood Dr, Woodbridge, VA 22193 | 2015-05-08 |
| 1588056139 | Lifelong Good Health LLC | Clinic/Center | 5721 Rhode Isalnd Drive, Woodbridge, VA 22193 | 2015-02-19 |
| 1639560378 | Tara Devi Smith | Psychologist | 13855 Hedgewood Drive, #245, Woodbridge, VA 22193 | 2015-02-17 |
| 1710396114 | Allanna Harrison | Speech-Language Pathologist | 15792 Beau Ridge Dr., Woodbridge, VA 22193 | 2014-08-11 |
| 1659788909 | Lifelong Good Health | Clinic/Center | 5721 Rhode Island Dr, Woodbridge, VA 22193 | 2014-07-18 |
| 1952731960 | Corrieann Marie Avila | Social Worker | 12721 Darby Brooke Court, Suite 102, Woodbridge, VA 22193 | 2013-11-13 |
| 1972881019 | Ockhee Jung | Acupuncturist | 14174 Rizdon Ct, Woodbridge, VA 22193 | 2011-07-22 |
| Find all providers in zip 22193 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594940 | Madison Antus | Speech-Language Pathologist | 15201 Neabsco Mills Rd, Woodbridge, VA 22191-4005 | 2020-10-01 |
| 1467065334 | Jaclyn Jones | Speech-Language Pathologist | 17-2 Mettler St, Woodbridge, CT 06525-2249 | 2020-08-28 |
| 1568010296 | Alyssa Knight | Speech-Language Pathologist | 13446 Princedale Dr, Woodbridge, VA 22193-3941 | 2019-08-27 |
| 1528616281 | Joyce Schueftan | Speech-Language Pathologist | 13900 Lindendale Rd, Woodbridge, VA 22193-4314 | 2019-08-27 |
| 1316594526 | Kirnetta Trineice Pittman | Speech-Language Pathologist | 13199 Kerrydale Rd, Woodbridge, VA 22193-5015 | 2019-08-22 |
| 1043863137 | Adrienne Roland | Speech-Language Pathologist | 2201 York Dr, Woodbridge, VA 22191-2436 | 2019-07-18 |
| 1902459241 | Laura Gray Bartenstein | Speech-Language Pathologist | 12980 Queen Chapel Rd, Woodbridge, VA 22193-4561 | 2019-07-16 |
| 1881183515 | Jennifer Mangrum | Speech-Language Pathologist | 14100 Page St, Woodbridge, VA 22191-2608 | 2018-05-08 |
| 1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
| 1043717184 | Donna Marie Isler | Speech-Language Pathologist | 4293 Marquis Pl, Woodbridge, VA 22192-6601 | 2018-04-06 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22193 |
Please comment or provide details below to improve the information on PROFESSIONAL ADULT AND SCHOOL AGE SPEECH SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.