Melisa Abernathy
Individual provider Active NPI Speech-Language Pathologist · Manassas, VA
NPI 1205332020 · NPPES record last updated Apr 2, 2018
Key facts
- NPI
- 1205332020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202008425 (VA)
- Practice address
- 14715 Bristow Rd
Manassas, VA 20112-3945 - Phone
- (703) 670-4050
- NPI assigned
- Apr 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202008425 | VA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202008425 | VA | Yes |
Addresses
Primary practice location
14715 Bristow Rd
Manassas, VA 20112-3945
Mailing address
2 Thousand Oaks Ter
Howell, NJ 07731-3606
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All providers in Manassas, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.