Basic Information
Provider Information
NPI: 1447653480
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ORABY
FirstName: HEBA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4315 CHAIN BRIDGE RD
Address2:  
City: FAIRFAX
State: VA
PostalCode: 220303061
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 4315 CHAIN BRIDGE RD
Address2:  
City: FAIRFAX
State: VA
PostalCode: 220303061
CountryCode: US
TelephoneNumber: 7039345000
FaxNumber: 7039345092
Other Information
ProviderEnumerationDate: 10/05/2014
LastUpdateDate: 03/17/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X2202007622VAY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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