Eltawila Almajid, Phaedra M

Eltawila Almajid, Phaedra M is an sole proprietor health care provider with primary practice located at 2106 Gallows Rd # E , Vienna VA 22182-3961. 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. Eltawila Almajid, Phaedra M can be contacted via phone (571) 766-8455.

Contact Information

Primary practice address
2106 Gallows Rd # E Vienna VA 22182-3961
Phone: (571) 766-8455
Fax: (703) 665-1241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-000337 District of Columbia

Profile Details

NPI number 1568778587
LBN Legal business name Eltawila Almajid, Phaedra M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2010
Last updated Sep 21st, 2015 - about 10 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 1568778587 NPPES
Virginia MEDICAID 1568778587

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