Individual
ELISHEVA SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
7204 DONCASTER ST, SPRINGFIELD, VA 22150-3321
(757) 818-3639
Mailing address
7204 DONCASTER ST, SPRINGFIELD, VA 22150-3321
(757) 818-3639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005375
VA
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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