NPI 1669863460 ELIZABETH SUDOL CCC-SLP FAIRFAX VA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Elizabeth Sudol - NPI: 1669863460

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: ELIZABETH SUDOL
NPI Number: 1669863460
Entity Type Code: Individual (1)
Gender: F
Credentials: CCC-SLP
License Number: 2202007650
Business Practice Address: 11350 Random Hills Rd
Suite 885 Fairfax, VA - 220306044
Business Phone Number: 7033424690
Business Fax Number: 7033424691
Mailing Address: 11350 Random Hills Rd, Suite 885
FAIRFAX
State: VA
Postal Code: 220306044
Phone Number: 7033424690
Fax Number: 7033424691
NPI Enumeration Date: 02/15/2015
NPI Last Update Date: 05/16/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: 2202007650
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


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