Provider Demographics
NPI:1639796063
Name:BELL, KATRIINA (CF-SLP)
Entity Type:Individual
Prefix:
First Name:KATRIINA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:KATRIINA
Other - Middle Name:ANN
Other - Last Name:GRIGSBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3219 COOLEY RD
Mailing Address - Street 2:
Mailing Address - City:GUM SPRING
Mailing Address - State:VA
Mailing Address - Zip Code:23065-2103
Mailing Address - Country:US
Mailing Address - Phone:434-270-5538
Mailing Address - Fax:
Practice Address - Street 1:3219 COOLEY RD
Practice Address - Street 2:
Practice Address - City:GUM SPRING
Practice Address - State:VA
Practice Address - Zip Code:23065-2103
Practice Address - Country:US
Practice Address - Phone:434-270-5538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2204000466235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist