Ivanov, Lisa Knierim

Ivanov, Lisa Knierim is an individual health care provider with primary practice located at 8575 Rixlew Ln , Manassas VA 20109-3701. 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. Ivanov, Lisa Knierim can be contacted via phone (703) 257-2941.

Contact Information

Primary practice address
8575 Rixlew Ln Manassas VA 20109-3701
Phone: (703) 257-2941
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202006805 Virginia

Profile Details

NPI number 1972847192
LBN Legal business name Ivanov, Lisa Knierim
Credentials CCC/SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Mar 21st, 2013 - about 13 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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