Provider Demographics
NPI:1316167778
Name:ABEYOUNIS, ELIZABETH CARDWELL (MS-CCC, CERT AVT)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:CARDWELL
Last Name:ABEYOUNIS
Suffix:
Gender:F
Credentials:MS-CCC, CERT AVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 CHADWICK PLACE
Mailing Address - Street 2:
Mailing Address - City:NEPWORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606
Mailing Address - Country:US
Mailing Address - Phone:757-668-6254
Mailing Address - Fax:757-668-6250
Practice Address - Street 1:11783 ROCK LANDING DR FL 2
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4431
Practice Address - Country:US
Practice Address - Phone:757-668-6254
Practice Address - Fax:757-668-6250
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA22020001124235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist