Samara Yalisove
Speech-Language Pathologist, in Washington, DC. Individual provider (NPI-1).
NPI number1245076561
StatusActive
Last updated in NPPESJul 5, 2024
Details
- NPI
- 1245076561
- Entity type
- Individual (NPI-1)
- Name
- Samara Yalisove
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 5, 2024
- Certification date
- Jul 5, 2024
- Last updated
- Jul 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
3801 Connecticut Ave Nw # 100Washington, DC 20008-4530
Phone 202-525-1641
Mailing address
2518 12th St NwWashington, DC 20009-5204
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