Vicki W Brackett in Roanoke - Speech-language Pathologist
Vicki W Brackett - NPI 1700922697
Vicki W Brackett is a Speech-language Pathologist in Roanoke, Virginia. Vicki W Brackett practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Vicki W Brackett is 1700922697. The last update date is 2009-09-24.
Vicki W Brackett's current location address is 4515 Brambleton Ave, Roanoke, Virginia. You can contact this provider via phone number 5409611230 and fax number 5409510613. The mailing address for Vicki W Brackett is 4515 Brambleton Ave, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vicki W Brackett |
|---|---|
| Address | 4515 Brambleton Ave, Roanoke, Virginia |
| Phone Number | 5409611230 |
| Fax Number | 5409510613 |
| Sole Proprietor | N |
| Credentials | M.S.,CCC-S |
NPI Number Detail
| NPI Number | 1700922697 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2009-09-24 |
Provider Mailing Address Detail
| Address | 4515 Brambleton Ave |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240183436 |
| Phone Number | 5409611230 |
| Fax Number | 5409510613 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2202002644 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7779221 | VA | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Vicki W Brackett by the Centers for Medicare & Medicaid Services?
The Vicki W Brackett has been assigned the NPI (National Provider Identifier) 1700922697. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Vicki W Brackett's facilities are situated?
The facilities of Vicki W Brackett are physically located at the following address: 4515 Brambleton Ave, Roanoke, VA, 240183436.
What is the Vicki W Brackett's area of specialization and corresponding taxonomy classification?
The Vicki W Brackett's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
When did Vicki W Brackett receive its 1700922697 assignment?
The Vicki W Brackett was assigned its 1700922697 on 2007-01-29, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Vicki W Brackett most recently updated or revised?
The details related to Vicki W Brackett, including its address, specialty, and other relevant information, were last updated or revised on 2009-09-24.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT