Individual provider · Type 1 NPI

Lisa Knierim Ivanov, CCC/SLP

Speech-Language Pathologist · Manassas, VA

NPI number 1972847192 Active

Practice location

8575 Rixlew Ln
Manassas, VA 20109-3701

Call (703) 257-2941 Map

Mailing address

24476 Ripple Ct
Aldie, VA 20105-5503

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X2202006805 (VA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1972847192

Lisa Knierim Ivanov, CCC/SLP's National Provider Identifier is 1972847192, issued on Nov 15, 2012. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Manassas, VA. The record was last updated on Mar 21, 2013.