Anida Jean Gonzales Levesque, CCC-SLP
NPI #1104323591 in Broadlands, Virginia
Provider Information
- NPI Number
- 1104323591
- Entity Type
- Individual
- Name
- Anida Jean Gonzales Levesque, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Apr 11, 2018
- Last Updated
- Apr 11, 2018
Practice Location
- Address
- 21000 EDUCATION CT
- City
- Broadlands
- State
- Virginia
- ZIP Code
- 20148-5526
- Phone
- (571) 434-4520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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