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Lisa Ivanov, CCC/SLP

NPI 1972847192 · on the registry since 2012

Practice

Address
8575 Rixlew Ln
Manassas, VA 20109
Phone
(703) 257-2941
Clinicians at this address
25

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-03-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia