Provider Demographics
NPI:1700687845
Name:GROWING MINDS SPEECH & LANGUAGE INTERVENTION, LLC
Entity type:Organization
Organization Name:GROWING MINDS SPEECH & LANGUAGE INTERVENTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:JUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:202-505-3229
Mailing Address - Street 1:465 CARLISLE DR
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-5616
Mailing Address - Country:US
Mailing Address - Phone:202-505-3229
Mailing Address - Fax:
Practice Address - Street 1:465 CARLISLE DR
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-5616
Practice Address - Country:US
Practice Address - Phone:202-505-3229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty