COLLEEN GEOGHEGAN


Address: 11240 Waples Mill Rd Ste 101, Fairfax, VA 22030-6078
Phone: 7032372219

COLLEEN GEOGHEGAN (NPI# 1477117786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477117786
Entity Type Individual
Full Name COLLEEN GEOGHEGAN
Credential MS CCC-SLP
Practice Address 11240 Waples Mill Rd Ste 101
Fairfax
VA 22030-6078
Mailing Address 3301 Krail St
Philadelphia
PA 19129-1526
Practice Telephone 7032372219
Practice Fax Number 7032372729
Mailing Telephone 2156924438
Enumeration Date 2019-04-23
Last Update Date 2019-04-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SL013584 PA Speech, Language and Hearing Service Providers

Office Location

Street Address 11240 WAPLES MILL RD STE 101
City FAIRFAX
State VA
Zip Code 22030-6078

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114326840 Emily Mills Student in an Organized Health Care Education/Training Program 11240 Waples Mill Rd Ste 101, Fairfax, VA 22030-6078 2014-08-19
1316560949 Sara Nottingham Behavior Technician 11240 Waples Mill Rd Ste 101, Fairfax, VA 22030-6078 2020-05-18
1346870318 Kimberly Darlene Sawyer Behavior Technician 11240 Waples Mill Rd Ste 101, Fairfax, VA 22030-6078 2020-01-18
1801435425 Jessica Lynn Roberts Behavior Technician 11240 Waples Mill Rd Ste 101, Fairfax, VA 22030-6078 2019-12-30
1730727157 Iqraa Salim Behavior Technician 11240 Waples Mill Rd Ste 101, Fairfax, VA 22030-6078 2019-12-16
1649816372 Nicholas Stelly Behavior Technician 11240 Waples Mill Rd Ste 101, Fairfax, VA 22030-6078 2019-11-18
1003465188 Karmen Caylor Behavior Technician 11240 Waples Mill Rd Ste 101, Fairfax, VA 22030-6078 2019-09-10
1104484575 Monika Skela Spadorcia Behavior Technician 11240 Waples Mill Rd Ste 101, Fairfax, VA 22030-6078 2019-05-31
1982166336 Kasey Lynn Martin Behavior Technician 11240 Waples Mill Rd Ste 101, Fairfax, VA 22030-6078 2019-04-04
1295297075 Devin Alonge Behavior Technician 11240 Waples Mill Rd Ste 101, Fairfax, VA 22030-6078 2019-04-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205449477 Perry Camp Jr. Psychologist 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 2020-08-28
1952940322 Brightview Fair Oaks, LLC Alzheimer Center (Dementia Center) 12725 Lee Highway, Fairfax, VA 22030 2020-01-02
1245871524 Tori Sprowl Behavioral Analyst 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 2019-10-08
1528612124 Paul Sarigianis Student in an Organized Health Care Education/Training Program 10379b Democracy Lane, Fairfax, VA 22030 2019-07-31
1497221303 Kahak, Inc. Day Training, Developmentally Disabled Services 10560 Main Street Suite Ps100, Fairfax, VA 22030 2018-10-17
1689177073 Shamoona Sharif Dentist 11050 Lee Hwy, Fairfax, VA 22030 2018-03-13
1205339538 Rachael Lee Greene Social Worker 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 2018-03-13
1558863027 Jacqueline Renee Bauer Skilled Nursing Facility 10701 Main Street, Fairfax, VA 22030 2018-03-01
1275033607 Philajo Global LLC Non-emergency Medical Transport (VAN) 4521 Billingham Street, Fairfax, VA 22030 2018-02-12
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780282152 Rachel Tsipora Chalom Speech-Language Pathologist 10565 Fairfax Blvd Ste 200, Fairfax, VA 22030-3104 2020-10-16
1629681861 Magnolia Educational Services Speech-Language Pathologist 4403 Dixie Hill Rd Apt 205, Fairfax, VA 22030-9061 2020-08-27
1336635713 Mary Pat Mcguire Peri Speech-Language Pathologist 9909 Laurel St, Fairfax, VA 22032-1013 2018-07-09
1538665740 Amie Lynn Russian Speech-Language Pathologist 8270 Willow Oaks Corporate Dr Ofc, Fairfax, VA 22031-4511 2018-04-05
1679078794 Katherine Willcox-bein Speech-Language Pathologist 8270 Willow Oaks Corporate Dr # 2128, Fairfax, VA 22031-4511 2018-03-29
1720580475 Brandhorst Speech Therapy Speech-Language Pathologist 562 Meadow Oak Cir, Fairfax, IA 52228-4709 2018-03-07
1427559533 Stacey Allman Speech-Language Pathologist 8270 Willow Oaks Co Dr Ste 2131, Fairfax, VA 22031-4511 2018-02-23
1801397294 Jonelle Craig Shipley Speech-Language Pathologist 8270 Willow Oaks Corporate Dr Ste 2129, Fairfax, VA 22031-4511 2018-02-22
1154822682 Kristy Cannon Speech-Language Pathologist 8270 Willow Oaks Co Dr Ste 2129, Fairfax, VA 22031-4511 2018-02-21
1710487343 Nicole Mariah Dobson Speech-Language Pathologist 9524 Old Creek Dr, Fairfax, VA 22032-1238 2018-02-20
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Competitor

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City FAIRFAX
Zip Code 22030

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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