Provider Demographics
NPI:1194028241
Name:DELTORO, KARALYNNE (MS)
Entity Type:Individual
Prefix:
First Name:KARALYNNE
Middle Name:
Last Name:DELTORO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6354 ROLLING MILL PL STE 103
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-2368
Mailing Address - Country:US
Mailing Address - Phone:703-866-0344
Mailing Address - Fax:703-866-0233
Practice Address - Street 1:6354 ROLLING MILL PL STE 103
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-2368
Practice Address - Country:US
Practice Address - Phone:703-866-0344
Practice Address - Fax:703-866-0233
Is Sole Proprietor?:No
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202003082235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist