Individual provider · Type 1 NPI

Patricia S. Park, SLP

Speech-Language Pathologist · Fairfax, VA

NPI number 1164424883 Active

Practice location

3750 Joseph Siewick Dr
Fairfax, VA 22033-1742

Call (703) 391-1026 Map

Fax (703) 391-1027

Mailing address

9900 Main St, Suite 200A
Fairfax, VA 22031-3907

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X2202-003368 (VA)
Speech-Language Pathologist 235Z00000X03053 (MD)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1164424883

Patricia S. Park, SLP's National Provider Identifier is 1164424883, issued on Aug 12, 2005. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Fairfax, VA. The record was last updated on Oct 23, 2010.