Healthcare Provider Details

I. General information

NPI: 1710589437
Provider Name (Legal Business Name): NORA AYN ESKIN M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2020
Last Update Date: 11/09/2020
Certification Date: 11/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2765 JEFFERSON DAVIS HWY STE 203
STAFFORD VA
22554-8331
US

IV. Provider business mailing address

1345 ENTERPRISE DR
WEST CHESTER PA
19380-5964
US

V. Phone/Fax

Practice location:
  • Phone: 610-436-3600
  • Fax:
Mailing address:
  • Phone: 610-436-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP001395
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: