Provider Demographics
NPI:1891090544
Name:HERRMANN, TERRY LANGHAUS (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:LANGHAUS
Last Name:HERRMANN
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 1:8517 ORDINARY WAY
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-4532
Mailing Address - Country:US
Mailing Address - Phone:703-425-5159
Mailing Address - Fax:
Practice Address - Street 1:8517 ORDINARY WAY
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-4532
Practice Address - Country:US
Practice Address - Phone:703-425-5159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202000781235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist