Antus, Madison

Antus, Madison is an individual health care provider with primary practice located at 15201 Neabsco Mills Rd , Woodbridge VA 22191-4005. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Antus, Madison can be contacted via phone (703) 583-1405.

Contact Information

Primary practice address
15201 Neabsco Mills Rd Woodbridge VA 22191-4005
Phone: (703) 583-1405
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2204000573 Virginia

Profile Details

NPI number 1710594940
LBN Legal business name Antus, Madison
Credentials CF-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2020
Last updated Oct 1st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710594940 NPPES
Virginia Other 2204000573 VA BOARD OF HEALTH PROFESSIONS/ BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY

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