Provider Demographics
NPI:1629465398
Name:PARAMOUNT THERAPY
Entity Type:Organization
Organization Name:PARAMOUNT THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:YUE-LING
Authorized Official - Middle Name:SIU
Authorized Official - Last Name:DU
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:610-850-5012
Mailing Address - Street 1:3021 NICOSH CIR
Mailing Address - Street 2:UNIT 1308
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1232
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3021 NICOSH CIR
Practice Address - Street 2:UNIT 1308
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1232
Practice Address - Country:US
Practice Address - Phone:703-622-8226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA225X00000X
VA2202005303235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty