MRS. Susanna Gail Prim, MS CCC SLP
NPI #1255316212 in Springfield, Virginia
Provider Information
- NPI Number
- 1255316212
- Entity Type
- Individual
- Name
- MRS. Susanna Gail Prim, MS CCC SLP
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS CCC SLP
- Enumeration Date
- Dec 13, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6506 LOISDALE RD
- Address 2
- STE 300
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22150-1824
- Phone
- (703) 924-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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