Bardwell, Marianne K

Bardwell, Marianne K is an individual health care provider with primary practice located at 19465 Deerfield Ave Suite 201, Lansdowne VA 20176-8446. 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. Bardwell, Marianne K can be contacted via phone (703) 858-7620.

Contact Information

Primary practice address
19465 Deerfield Ave Suite 201 Lansdowne VA 20176-8446
Phone: (703) 858-7620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202001515 Virginia

Profile Details

NPI number 1043425408
LBN Legal business name Bardwell, Marianne K
Credentials MS CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Jun 11th, 2008 - about 18 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 1043425408 NPPES
Virginia MEDICAID 4978196

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