Provider Demographics
NPI:1225323108
Name:DONOSO, MARIA CRISTINA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MARIA CRISTINA
Middle Name:
Last Name:DONOSO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 RICHMOND HWY # 1307
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22305-3044
Mailing Address - Country:US
Mailing Address - Phone:703-819-4380
Mailing Address - Fax:
Practice Address - Street 1:1513 WOODBINE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-2740
Practice Address - Country:US
Practice Address - Phone:703-819-4380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-18
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202006343235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist