NPI 1003428533

Madison Ashlee Sunderland

Practitioner Speech-Language Pathologist Fairfax, VA

Practice location

Address: 11150 Fairfax Blvd STE 500, Fairfax, VA 22030-5029
Phone: (201) 983-9881
Mailing address: 14148 Snickersville Dr, Gainesville, VA 20155-4451

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 2204000467 (VA)

Other Speech-Language Pathologist providers in Virginia →

Registry record

NPI: 1003428533
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Aug 2020
Record last updated: 17 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.