Cynthia Johanna Van Doren-Jackson, M.A., CCC-SLP

Speech-Language Pathologist · Leesburg, VA

Individual Active NPI

NPI number 1356570485

Practice location

9 Ayr St NW
Leesburg, VA 20176-2609
Phone
(703) 771-7648

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NPI record

NPI
1356570485
Entity type
Individual (Type 1)
Enumeration date
July 10, 2009
Last updated
August 18, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 2202005693 VA

About Cynthia Van Doren-Jackson

Cynthia Johanna Van Doren-Jackson, M.A., CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 9 Ayr St NW, Leesburg, VA 20176-2609. The NPI number 1356570485 was assigned on July 10, 2009 and the record was last updated on August 18, 2009.

Cynthia Van Doren-Jackson lists a license in the registry: #2202005693 (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 Cynthia Johanna Van Doren-Jackson, M.A., CCC-SLP?

The NPI number is 1356570485.

What is the phone number of Cynthia Van Doren-Jackson?

The phone number listed for the practice location is (703) 771-7648.

Where is Cynthia Van Doren-Jackson located?

9 Ayr St NW, Leesburg, VA 20176-2609.

What is the taxonomy code for Cynthia Van Doren-Jackson?

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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