Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cynthia Johanna Van Doren-Jackson, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1356570485

Cynthia Johanna Van Doren-Jackson, MA, CCC-SLP is a Speech-Language Pathologist in Leesburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2009
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

9 Ayr St NW
Leesburg, VA 20176-2609
Phone: (703) 771-7648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2202005693 (VA)

Record details

NPI number1356570485
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 10, 2009
Last updated in NPPESAugust 18, 2009

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