Provider Demographics
NPI:1225284623
Name:SAWANT, VAISHNAVI A (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:VAISHNAVI
Middle Name:A
Last Name:SAWANT
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 OLD LEE HWY
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-1806
Mailing Address - Country:US
Mailing Address - Phone:703-246-5322
Mailing Address - Fax:703-246-5317
Practice Address - Street 1:3750 OLD LEE HWY
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-1806
Practice Address - Country:US
Practice Address - Phone:703-246-5322
Practice Address - Fax:703-246-5317
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202006085235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist