Provider Demographics
NPI:1427529247
Name:LALEHCHINI, VICTORIA V (CCC-SLP)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:V
Last Name:LALEHCHINI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:VICKY
Other - Middle Name:V
Other - Last Name:LALEHCHINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:7185 RIVERS EDGE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4237
Mailing Address - Country:US
Mailing Address - Phone:301-596-9568
Mailing Address - Fax:
Practice Address - Street 1:7185 RIVERS EDGE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-4237
Practice Address - Country:US
Practice Address - Phone:301-596-9568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3189235Z00000X
MD03917235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty