NPI 1538474606

Grace Gina Hipona, MSNCCACSLPC

Practitioner Contractor Woodbridge, VA

Practice location

Address: 12584 Darby Brook CT, Woodbridge, VA 22192-2485
Phone: (866) 528-3385
Fax: (703) 499-9889
Mailing address: 5642 Ravenel Ln, Springfield, VA 22151-2429

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 0701004097 (VA)

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Registry record

NPI: 1538474606
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Aug 2010
Record last updated: 5 Oct 2011

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.