Doctor Name: | MRS. DONNA PAVLUK |
NPI Number: | 1285080937 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | SLP000788 |
Business Practice Address: | 6418 28th St N Arlington, VA - 222071114 |
Business Phone Number: | 7035987125 |
Business Fax Number: | |
Mailing Address: | 6418 28th St N, ARLINGTON |
State: | VA |
Postal Code: | 222071114 |
Phone Number: | 7035987125 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2016 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP000788 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
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 |