SUSANNA GAIL PRIM

SPRINGFIELD, VA
NPI1255316212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: VA  2202004426)
Enumeration Date2005-12-13
Last Update Date2007-07-08
Business Address
Mrs. SUSANNA GAIL PRIM MS CCC SLP
6506 LOISDALE RD STE 300
SPRINGFIELD, VA 22150-1824
Phone number: 703-924-4100
Mailing Address
Mrs. SUSANNA GAIL PRIM MS CCC SLP
5414 DONNELLY CT
SPRINGFIELD, VA 22151-1705
Phone number: 703-323-1367