Provider Demographics
NPI:1285798173
Name:MIDILI, JENIFER CHIAPPETTA (SLP)
Entity type:Individual
Prefix:
First Name:JENIFER
Middle Name:CHIAPPETTA
Last Name:MIDILI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6231 LEESBURG PIKE STE 520
Mailing Address - Street 2:CHILDREN'S SPEECH AND LANGUAGE SERVICES, INC.
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2102
Mailing Address - Country:US
Mailing Address - Phone:703-685-1070
Mailing Address - Fax:703-685-0151
Practice Address - Street 1:6231 LEESBURG PIKE, SUITE 520
Practice Address - Street 2:CHILDREN'S SPEECH AND LANGUAGE SERVICES INC.
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-3084
Practice Address - Country:US
Practice Address - Phone:703-685-1070
Practice Address - Fax:703-685-0151
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2202004896235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA542098628OtherCHILDREN'S SPEECH AND LANGUAGE SERVICES INC.