- Practice location
- 8229 Boone Blvd Ste 660, Vienna, VA 22182-2657
- Phone
- 703-821-1363
- Fax
- —
- Last updated
- September 19, 2022
Johanna Lidsky Gray is a Speech-Language Pathologist, based in Vienna, VA. Johanna Lidsky Gray practices in Vienna, VA and has the professional credentials of CFY-SLP. The NPI Number for Johanna Lidsky Gray is 1407578115 and holds a License No. SLPCF2000054 (DC). The current practice location address for Johanna Lidsky Gray is 8229 Boone Blvd Ste 660, Vienna, VA 22182-2657 and can be reached out via phone at 703-821-1363.
Provider Profile Details
- NPI Number
- 1407578115
- Provider Name
- Johanna Lidsky Gray
- Credential
- CFY-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 8229 Boone Blvd Ste 660, Vienna, VA 22182-2657
- Phone Number
- 703-821-1363
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 19, 2022
- Last Update Date
- September 19, 2022
- Certification Date
- September 19, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8229 Boone Blvd Ste 660
Vienna, VA 22182-2657 - City
- Vienna
- State
- Virginia
- Zip
- 22182-2657
- Phone Number
- 703-821-1363
Provider Business Mailing Address Details
- Address
- 31 Hayden Ln
Franklin, MA 02038-1302 - City
- Franklin
- State
- MA
- Zip
- 02038-1302
- Phone Number
- 508-269-5964
License Information
- License Number
- SLPCF2000054
- License State
- DC
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Vienna, VA
View all Speech-Language Pathologist, providers in Vienna →Frequently Asked Questions
What is the NPI number of Johanna L Gray, CFY-SLP?
The NPI number of Johanna L Gray, CFY-SLP is 1407578115. It was assigned on September 19, 2022 and is currently active in the NPPES registry.
What is the specialty of Johanna L Gray, CFY-SLP?
Johanna L Gray, CFY-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in DC under license number SLPCF2000054.
Where does Johanna L Gray, CFY-SLP practice?
The practice location is 8229 Boone Blvd Ste 660, Vienna, VA 22182-2657. The office can be reached at 703-821-1363 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407578115 directly on the NPPES registry website.