Capital Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005962 Issued in VA

Legal business name

CAPITAL SPEECH THERAPY

Practice address

826 Anthony CT SE
Leesburg, VA 20175-5629

Phone

(703) 777-2048

Fax

(844) 431-0773

NPI assigned

Apr 26, 2016

Last updated

Apr 26, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Elaine Mehlberg, M.S., CCC-SLP

Title

Owner/Speech-Language Pathologist

Phone

(571) 319-3347

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1730534827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 ANTHONY CT SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201755629",
            "telephone_number": "703-777-2048",
            "fax_number": "844-431-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 ANTHONY CT SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201755629",
            "telephone_number": "703-777-2048",
            "fax_number": "844-431-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "MEHLBERG",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "571-319-3347",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.