Individual
ELAINE MARIE MEHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
19465 DEERFIELD AVE, SUITE 201, LANSDOWNE, VA 20176-1701
(703) 858-7620
Mailing address
19465 DEERFIELD AVE, SUITE 201, LANSDOWNE, VA 20176-1701
(703) 858-7620
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005926
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558304253
—
VA
Enumeration date
11/04/2009
Last updated
11/04/2009
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