Provider Demographics
NPI:1053817833
Name:SCHONBERG, CORRYN (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CORRYN
Middle Name:
Last Name:SCHONBERG
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3341 S STAFFORD ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-1916
Mailing Address - Country:US
Mailing Address - Phone:240-620-6557
Mailing Address - Fax:
Practice Address - Street 1:2301 COLUMBIA PIKE
Practice Address - Street 2:SUITE 125
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204
Practice Address - Country:US
Practice Address - Phone:202-544-5439
Practice Address - Fax:202-379-1797
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202007508235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist