Provider Demographics
NPI:1891335931
Name:PHAM, NATALIE MERKI (SLP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:MERKI
Last Name:PHAM
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W MAPLE ST APT 301
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22301-2647
Mailing Address - Country:US
Mailing Address - Phone:806-223-8881
Mailing Address - Fax:
Practice Address - Street 1:803 W BROAD ST STE 100
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3131
Practice Address - Country:US
Practice Address - Phone:806-223-8881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-07
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist