Provider Demographics
NPI:1427865526
Name:GRABOWSKI, ADA
Entity type:Individual
Prefix:DR
First Name:ADA
Middle Name:
Last Name:GRABOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43437 BETTYS FARM DR
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20152-1435
Mailing Address - Country:US
Mailing Address - Phone:585-735-5317
Mailing Address - Fax:
Practice Address - Street 1:43437 BETTYS FARM DR
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20152-1435
Practice Address - Country:US
Practice Address - Phone:585-735-5317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist