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

Individual provider Speech-Language Pathologist · NPI 1073255618

Petra Massis, CCC-SLP is a Speech-Language Pathologist in Herndon, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022
What do these letters mean?
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

13582 Big Boulder Rd
Herndon, VA 20171-5000
Phone: (571) 329-2658
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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 A60879991 (VA)

Record details

NPI number1073255618
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedApril 13, 2022
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address13582 Big Boulder Rd, Herndon, VA 20171-5000

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