| Doctor Name: | PHAEDRA M ELTAWILA ALMAJID |
| NPI Number: | 1568778587 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SLP-000337 |
| Business Practice Address: | 2106 Gallows Rd # E Vienna, VA - 221823961 |
| Business Phone Number: | 5717668455 |
| Business Fax Number: | 7036651241 |
| Mailing Address: | 1573 Northern Neck Dr, Suite 201 VIENNA |
| State: | VA |
| Postal Code: | 221825566 |
| Phone Number: | 2029999317 |
| Fax Number: | 7036651241 |
| NPI Enumeration Date: | 08/27/2010 |
| NPI Last Update Date: | 09/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP-000337 |
| 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 |