Doctor Name: | MRS. VANESSA KAMAL LANGE |
NPI Number: | 1306033212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC/SLP |
License Number: | 04951 |
Business Practice Address: | 250 International Pkwy Ste 260 Lake Mary, FL - 327465022 |
Business Phone Number: | 8006322191 |
Business Fax Number: | |
Mailing Address: | 1350 Se 3rd Ave Apt 208, DANIA BEACH |
State: | FL |
Postal Code: | 330045530 |
Phone Number: | 5612716729 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 09/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 04951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |