Healthcare Provider Details

I. General information

NPI: 1982427944
Provider Name (Legal Business Name): CHLOE ELISABETH DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8115 GATEHOUSE RD
FALLS CHURCH VA
22042-1203
US

IV. Provider business mailing address

2618 GLENGYLE DR
VIENNA VA
22181-5530
US

V. Phone/Fax

Practice location:
  • Phone: 571-423-3000
  • Fax:
Mailing address:
  • Phone: 978-992-6755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: