Elizabeth Land Clark, MS-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005839 Issued in VA

Practice address

7617 Little River Tpke
Suite #310
Annandale, VA 22003-2603

Phone

(703) 941-7757

NPI assigned

Aug 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Skill Builders, LLC

  • Speech-Language Pathologist
  • Annandale, VA
  • NPI 1073515540
  NPD (past)
• Skill Builders, LLC

  • Speech-Language Pathologist
  • MC Lean, VA
  • NPI 1508059221
  NPD (past)

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1922230697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 N WOODSTOCK ST",
            "address_2": "APARTMENT 201",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222072431",
            "telephone_number": "571-212-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 LITTLE RIVER TPKE",
            "address_2": "SUITE #310",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032603",
            "telephone_number": "703-941-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ELIZABETH",
        "middle_name": "LAND",
        "credential": "MS-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jiho Choi, M.D.
• Christina H Chon, O.D.
• Won Cho Chong, O.M.D.
• Hae Yong Chung, DC
• Heather Haeyoung Chung, FNP-C
• Claros Dental Care, PC
• CM Prasad MD PC
• Jacqueline E Coleman
• Jonathan Evan Collinsworth, CMT
• Columbia Leasing Co., LLC

• Speech-Language Pathologist in Annandale, VA
• Providers in Annandale, 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 Aug 14, 2009; 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.