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
Fax: (571) 633-9666
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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