Provider Demographics
NPI:1013134279
Name:BIELSKI, MELANIE LARRIMORE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:LARRIMORE
Last Name:BIELSKI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:LARRIMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:730 RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-1620
Mailing Address - Country:US
Mailing Address - Phone:703-477-0347
Mailing Address - Fax:
Practice Address - Street 1:730 RIDGE DR
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-1620
Practice Address - Country:US
Practice Address - Phone:703-477-0347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
VA2202003723235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004979907Medicaid
VA496647Medicare ID - Type Unspecified