NPI 1073255618

Petra Massis, CCCSLP

Practitioner Speech-Language Pathologist Herndon, VA

Practice location

Address: 13582 Big Boulder Rd, Herndon, VA 20171-5000
Phone: (571) 329-2658

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence A60879991 (VA)

Other Speech-Language Pathologist providers in Virginia →

Registry record

NPI: 1073255618
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2022
Record last updated: 3 Aug 2023

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.