DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA ANN MARIE KOLLAROS, CCC-SLP

Active Sole Proprietor

JESSICA ANN MARIE KOLLAROS, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in FAIRFAX, Virginia. NPI 1780948257 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · FAIRFAX, VA

Registration Details

NPI Number
1780948257
Provider Type
Individual
Gender
Female
NPI Issued
Jun 29, 2012 (14.132014614667 yrs)
Last Updated
Nov 12, 2020
Licenses
2202007156 (VA)
SLP001501 (DC)
C-5124 (NM)
Sole Proprietor
Yes

Practice Information

Address
11350 RANDOM HILLS RD STE 885
FAIRFAX, VA, 220306044
Browse VA providers · Browse ZIP 22030
Phone
7033424690
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in FAIRFAX, VA

Name Credential NPI
ERIN NOLAN SLP 1710987532
PATRICIA S. PARK SLP 1164424883
EMILY MORA SLP 1245232966
NANCY BETH MICHAEL SLP 1649262247
MS. LYNN A. KONNERTH SLP 1306836846
MELISSA ANNE MIMIDIS HORWATT M.S. CCC-SLP 1669435863
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.