Doctor Name: | MRS. ELAINE A MACCHIO |
NPI Number: | 1275818213 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 2202004974 |
Business Practice Address: | 400 Madison St Apt.1003 Alexandria, VA - 223141772 |
Business Phone Number: | 7035492134 |
Business Fax Number: | |
Mailing Address: | 400 Madison St, Apt.1003 ALEXANDRIA |
State: | VA |
Postal Code: | 223141772 |
Phone Number: | 7035492134 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2011 |
NPI Last Update Date: | 10/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202004974 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |