Randy Earl Wanttaja in Virginia Beach - Speech-language Pathologist
Randy Earl Wanttaja - NPI 1265485726
Randy Earl Wanttaja is a Speech-language Pathologist in Virginia Beach, Virginia. Randy Earl Wanttaja practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Randy Earl Wanttaja is 1265485726. The last update date is 2007-07-08.
Randy Earl Wanttaja's current location address is 5301 Providence Rd, Virginia Beach, Virginia. You can contact this provider via phone number 7574671900 and fax number 7574677900. The mailing address for Randy Earl Wanttaja is 5301 Providence Rd, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Randy Earl Wanttaja |
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Address | 5301 Providence Rd, Virginia Beach, Virginia |
Phone Number | 7574671900 |
Fax Number | 7574677900 |
Sole Proprietor | X |
Credentials | M.A., C.C. |
NPI Number Detail
NPI Number | 1265485726 |
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Provider Enumeration Date | 2006-05-18 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 5301 Providence Rd |
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City | Virginia Beach |
State | Virginia (VA) |
Post Code | 234644128 |
Phone Number | 7574671900 |
Fax Number | 7574677900 |
Provider's Primary Taxonomy Detail
Speciality | Speech-language Pathologist |
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Taxonomy | 235Z00000X |
Licence No | 2202004535 |
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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What is the unique 10-digit identifier code assigned to Randy Earl Wanttaja by the Centers for Medicare & Medicaid Services?
The Randy Earl Wanttaja has been issued the NPI (National Provider Identifier) 1265485726 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Randy Earl Wanttaja is physically located?
The Randy Earl Wanttaja is situated at the following address: 5301 Providence Rd, Virginia Beach, VA 234644128.
What is Randy Earl Wanttaja's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Randy Earl Wanttaja is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
On what date did the Randy Earl Wanttaja receive the assignment of its 1265485726 from the Centers for Medicare & Medicaid Services?
The Randy Earl Wanttaja was issued its 1265485726 by the Centers for Medicare & Medicaid Services on 2006-05-18.
As of what date were the Randy Earl Wanttaja's details last updated?
The information pertaining to the Randy Earl Wanttaja, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH