Diana C Alvarado, SLP

Individual provider Active NPI Speech-Language Pathologist · Broadlands, VA

NPI 1154559946 · NPPES record last updated Apr 3, 2018

Key facts

NPI
1154559946
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2202005940 (VA)
Practice address
21000 Education CT
Broadlands, VA 20148-5526
Phone
(571) 252-1045
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun County Public Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 019211 NY
Speech-Language Pathologist 235Z00000X 2202005940 VA Yes

Addresses

Primary practice location

21000 Education CT
Broadlands, VA 20148-5526

Mailing address

21000 Education CT
Broadlands, VA 20148-5526
Phone (571) 252-1045

Other providers in Broadlands, VA

All providers in Broadlands, VA · Speech-Language Pathologist in Virginia

Sources for this page

Verify at the official NPI Registry.