MEDICARE: ERIN STANCLIFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2202008521	VA

General Provider Information

NPI Number	:	1437685468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN STANCLIFT

Provider Business Mailing Address
First Line	:	7708 RICHMOND HWY STE 1010
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-2803
Country	:	US
Telephone Number	:	484-638-3183
Fax Number	:

Provider Business Practice Location Address
First Line	:	7708 RICHMOND HWY STE 1010
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-2803
Country	:	US
Telephone Number	:	484-638-3183
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	11/09/2024

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Directions to “ ERIN STANCLIFT ” Practice Location

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