Srinivasan, Pratibha
Srinivasan, Pratibha is an individual health care provider with primary practice located at 1495 Chain Bridge Rd , Mclean VA 22101-5727. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Srinivasan, Pratibha can be contacted via phone (571) 633-0770.Contact Information
Primary practice address
1495 Chain Bridge Rd
Mclean VA 22101-5727
Phone: (571) 633-0770
Fax: (571) 633-9666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 2201000379 | Virginia |
Profile Details
| NPI number | 1811907801 |
|---|---|
| LBN Legal business name | Srinivasan, Pratibha |
| Credentials | M.S. CCC-A, CERT AVT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811907801 | NPPES |
| Virginia | Other | 69161 | PROVIDER ID/OPTIMA HEALTH |
| Virginia | Other | 140801 | PROVIDER ID/OPTIMA HEALTH |
| Virginia | Other | 208069 | PROVIDER ID/OPTIMA HEALTH |
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