JOHANNA LIDSKY GRAY

VIENNA, VA
NPI1407578115
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: DC  SLPCF2000054)
Enumeration Date2022-09-19
Last Update Date2022-09-19
Business Address
JOHANNA LIDSKY GRAY CFY-SLP
8229 BOONE BLVD STE 660
VIENNA, VA 22182-2657
Phone number: 703-821-1363
Mailing Address
JOHANNA LIDSKY GRAY CFY-SLP
31 HAYDEN LN
FRANKLIN, MA 02038-1302
Phone number: 508-269-5964