Provider Demographics
NPI:1124309737
Name:MARINDIN RAMANI, ELIZABETH MOLLY (MA CCC SLP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MOLLY
Last Name:MARINDIN RAMANI
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:MOLLY
Other - Last Name:RAMANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2401 AVALON WOODS DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-7719
Mailing Address - Country:US
Mailing Address - Phone:202-641-0816
Mailing Address - Fax:
Practice Address - Street 1:333 W CORK ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3870
Practice Address - Country:US
Practice Address - Phone:540-536-5114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202009403235Z00000X
MD005128235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist