| Gabriela Vallejo, | |
|
2765 Jefferson Davis Highway, Suite 203, Stafford, VA 22554 | |
| (540) 318-8962 | |
| Not Available |
| Full Name | Gabriela Vallejo |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2765 Jefferson Davis Highway, Stafford, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760170021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 30003720 (North Carolina) | Secondary |
| 235Z00000X | Speech-language Pathologist | 2202011375 (Virginia) | Primary |
| Provider Name | Ivyrehab North Carolina Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1629568647 PECOS PAC ID: 8820336324 Enrollment ID: O20190207001822 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriela Vallejo, 1345 Enterprise Dr, West Chester, PA 19380-5964 Ph: () - | Gabriela Vallejo, 2765 Jefferson Davis Highway, Suite 203, Stafford, VA 22554 Ph: (540) 318-8962 |
Tracy Ann Bannon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 31 Stafford Ave, Stafford, VA 22554 Phone: 540-658-6000 | |
Mrs. Leslie H Jordan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 Eustace Rd, Stafford, VA 22554 Phone: 540-658-6190 | |
Mrs. Donna Lynn Bloom, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2765 Jefferson Davis Hwy, Suite 209, Stafford, VA 22554 Phone: 540-720-2261 Fax: 540-720-5660 | |
Kerry Daly Nenni, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2125 Mountain View Rd, Stafford, VA 22556 Phone: 540-658-6790 | |
Carrie Ingalls Szlyk, MPH, MS-CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 31 Stafford Ave, Stafford, VA 22554 Phone: 540-658-6000 | |
Khojistha Azizi, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Wood Dr, Stafford, VA 22556 Phone: 570-878-8070 | |
Miss Karen Nirschl, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2765 Jefferson Davis Hwy, Suite 209, Stafford, VA 22554 Phone: 540-720-2261 |