Doctor Name: | ANGELA D TRAVERS |
NPI Number: | 1134332851 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 2851-154 |
Business Practice Address: | 4627 Knight Pl Alexandria, VA - 223114924 |
Business Phone Number: | 6604299344 |
Business Fax Number: | |
Mailing Address: | 4627 Knight Pl, ALEXANDRIA |
State: | VA |
Postal Code: | 223114924 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 10/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2851-154 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
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 |