Individual
ELIZABETH CLARE WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
8455 BROKEN ARROW CT, ANNANDALE, VA 22003-1167
(832) 244-1881
Mailing address
8455 BROKEN ARROW CT, ANNANDALE, VA 22003-1167
(832) 244-1881
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004461
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187839
BLUE CROSS BLUE SHIELD
VA
01
—
301629
AMERIGROUP
VA
05
—
4978277
—
VA
Enumeration date
01/22/2007
Last updated
10/05/2016
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