Elisha Wolfe
Individual provider Active NPI Speech-Language Pathologist · Rural Retreat, VA
NPI 1780188656 · NPPES record last updated Mar 23, 2018
Key facts
- NPI
- 1780188656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 100 Martha Deborad Way
Rural Retreat, VA 24368-3214 - Phone
- (276) 686-4125
- NPI assigned
- Mar 23, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
100 Martha Deborad Way
Rural Retreat, VA 24368-3214
Mailing address
100 Martha Deborad Way
Rural Retreat, VA 24368-3214
Other providers in Rural Retreat, VA
- Stamper'S Health Enterprises, Inc
- Stampers Health Enterprises Inc
- Margaret Elizabeth Vines
- Virginia Home Health & Hospice Care, Inc.
- Virginia Home Health & Hospice Care, Inc.
- Wythe VA Opco LLC
All providers in Rural Retreat, 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 Mar 23, 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.