NPI 1013565092

Desirea Moore-Mitchell

Practitioner Speech-Language Pathologist Manassas, VA

Practice location

Address: 14715 Bristow Rd, Manassas, VA 20112-3945
Phone: (703) 791-7200
Mailing address: 5215 Spanish Dollar CT, Woodbridge, VA 22193-3268

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 2202007861 (VA)

Other Speech-Language Pathologist providers in Virginia →

Registry record

NPI: 1013565092
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Sep 2019
Record last updated: 3 Sep 2019

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.