Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miranda Jeanmard, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1558857656

Miranda Jeanmard, MS, CCC-SLP is a Speech-Language Pathologist in Fairfax, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science 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

10701 Main St
Fairfax, VA 22030-6995
Phone: (703) 273-7705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 650 N Jefferson St, Roanoke, VA 24016-1427 — (540) 343-3484

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2202009149 (VA)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1558857656
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 2, 2018
Last updated in NPPESApril 16, 2020
Certification dateApril 16, 2020

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