Tara Leigh Willis, M.S., CCC-SLP

Speech-Language Pathologist · Leesburg, VA

Individual Active NPI

NPI number 1114134848

Practice location

603 Buchanan Ct SE
Leesburg, VA 20175-5602
Phone
(703) 431-1499

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NPI record

NPI
1114134848
Entity type
Individual (Type 1)
Enumeration date
May 16, 2007
Last updated
June 8, 2021
Certified
June 8, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 2202005373 VA

About Tara Willis

Tara Leigh Willis, M.S., CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 603 Buchanan Ct SE, Leesburg, VA 20175-5602. The NPI number 1114134848 was assigned on May 16, 2007 and the record was last updated on June 8, 2021.

Tara Willis lists a license in the registry: #2202005373 (VA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tara Leigh Willis, M.S., CCC-SLP?

The NPI number is 1114134848.

What is the phone number of Tara Willis?

The phone number listed for the practice location is (703) 431-1499.

Where is Tara Willis located?

603 Buchanan Ct SE, Leesburg, VA 20175-5602.

What is the taxonomy code for Tara Willis?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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