Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Sackfield Porter, CCC/SLP

Individual provider Speech-Language Pathologist · NPI 1124523030

Mary Sackfield Porter, CCC/SLP is a Speech-Language Pathologist in Broadlands, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2018

Practice location Address checks out

21000 Education Ct
Broadlands, VA 20148-5526
Phone: (703) 517-9614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21000 Education Ct, Broadlands, VA 20148-5526 — (703) 517-9614

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2202002614 (VA)

Record details

NPI number1124523030
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC/SLP
Sole proprietorNo
NPI enumeratedMarch 25, 2018
Last updated in NPPESMarch 25, 2018

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