Graham, Elisabeth Ann

Graham, Elisabeth Ann is an sole proprietor health care provider with primary practice located at 19465 Deerfield Ave Ste 201 , Lansdowne VA 20176-1703. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Graham, Elisabeth Ann can be contacted via phone (703) 858-7620.

Contact Information

Primary practice address
19465 Deerfield Ave Ste 201 Lansdowne VA 20176-1703
Phone: (703) 858-7620
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202003690 Virginia

Profile Details

NPI number 1093852386
LBN Legal business name Graham, Elisabeth Ann
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jun 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093852386 NPPES
Virginia MEDICAID 4978196

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