Provider Demographics
NPI:1710607007
Name:NAKHON, RIVKAH (AUD CCC-A)
Entity Type:Individual
Prefix:
First Name:RIVKAH
Middle Name:
Last Name:NAKHON
Suffix:
Gender:F
Credentials:AUD CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 UNIVERSITY BLVD W APT 819
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3320
Mailing Address - Country:US
Mailing Address - Phone:443-796-6099
Mailing Address - Fax:
Practice Address - Street 1:5454 WISCONSIN AVE STE 1535
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6922
Practice Address - Country:US
Practice Address - Phone:301-652-8847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01614231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist