Provider Demographics
NPI:1154093805
Name:PYLE, JORDAN CHRISTINE (MED, CF-SLP)
Entity Type:Individual
Prefix:MISS
First Name:JORDAN
Middle Name:CHRISTINE
Last Name:PYLE
Suffix:
Gender:F
Credentials:MED, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 SUNSET LN
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-3918
Mailing Address - Country:US
Mailing Address - Phone:540-825-0713
Mailing Address - Fax:
Practice Address - Street 1:500 SUNSET LN
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3918
Practice Address - Country:US
Practice Address - Phone:540-825-0713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2204000738235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist