| Mrs Lisa Knierim Ivanov, CCC/SLP | |
|
8575 Rixlew Ln, Manassas, VA 20109-3701 | |
| (703) 257-2941 | |
| Not Available |
| Full Name | Mrs Lisa Knierim Ivanov |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 8575 Rixlew Ln, Manassas, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972847192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2202006805 (Virginia) | Primary |
| Provider Name | Fox Rehabilitation Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1609814755 PECOS PAC ID: 1355347410 Enrollment ID: O20091019000338 |
| Provider Name | Dr Alina Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1881139079 PECOS PAC ID: 2961788062 Enrollment ID: O20170403002454 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Knierim Ivanov, CCC/SLP 24476 Ripple Ct, Aldie, VA 20105-5503 Ph: (904) 703-9310 | Mrs Lisa Knierim Ivanov, CCC/SLP 8575 Rixlew Ln, Manassas, VA 20109-3701 Ph: (703) 257-2941 |
Amy Maria Nojaim, MA,CCC,SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
Lisa Suzanne Mathias, MS, CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14715 Bristow Rd, Manassas, VA 20112 Phone: 703-791-2099 | |
Mrs. Nita Putnam, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14715 Bristow Rd, Manassas, VA 20112 Phone: 703-586-9929 | |
Desirea Moore-mitchell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14715 Bristow Rd, Manassas, VA 20112 Phone: 703-791-7200 | |
Mrs. Simona Enrica Bettineschi Mitchell, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8605 Centreville Rd, Manassas, VA 20110 Phone: 703-257-0935 | |
Brooke Newman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14715 Bristow Road, Manassas, VA 20112 Phone: 703-361-3185 | |
Mrs. Marie Elizabeth Hines, MS CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8757 Antonia Ave, Manassas, VA 20110 Phone: 703-331-1350 |