Doctor Name: | MISS PAMELA ELAINE PATZ |
NPI Number: | 1104057355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S./CCC/SLP |
License Number: | 2202000796 |
Business Practice Address: | 6929 Matthew Pl Springfield, VA - 221513607 |
Business Phone Number: | 7032561228 |
Business Fax Number: | |
Mailing Address: | 8025 Sleepy View Ln, SPRINGFIELD |
State: | VA |
Postal Code: | 221532921 |
Phone Number: | 7039230727 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2009 |
NPI Last Update Date: | 08/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202000796 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |