Provider Demographics
NPI:1194889733
Name:SAKELLANDES, MARIA ELECTRA (AUD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ELECTRA
Last Name:SAKELLANDES
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:MEGALUDIS
Other - Last Name:SAKELLARIDES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:7407 LOUGHBORO LANE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150
Mailing Address - Country:US
Mailing Address - Phone:703-912-7747
Mailing Address - Fax:
Practice Address - Street 1:611 S CARLIN SPRINGS RD
Practice Address - Street 2:#106
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204
Practice Address - Country:US
Practice Address - Phone:703-933-2001
Practice Address - Fax:703-933-2001
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2101000812237600000X
VA2201000518237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00A825A86Medicare ID - Type Unspecified