Doctor Name: | MRS. ELIZABETH STALKER |
NPI Number: | 1205182417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 07046 |
Business Practice Address: | 5606 Shields Dr Bethesda, MD - 208173571 |
Business Phone Number: | 3014930023 |
Business Fax Number: | |
Mailing Address: | 2228 Gunsmith Sq, RESTON |
State: | VA |
Postal Code: | 201912308 |
Phone Number: | 5165097435 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2012 |
NPI Last Update Date: | 06/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 07046 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |