NPI 1780282152 · live from the CMS NPI Registry
Rachel Tsipora Chalom, CF-SLP
Speech-Language Pathologist, in Fairfax, VA. National Provider Identifier 1780282152, active.
NPI record
| NPI | 1780282152 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 10565 Fairfax Blvd Ste 200, Fairfax, VA 22030 |
| Practice phone | 301-718-1716 |
| Mailing address | 1916 17th St Nw Apt 4, Washington, DC 20009 |
| Enumerated | October 16, 2020 |
| Last updated | October 16, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 2204000577 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.