Doctor Name: | YVONNE FAUBER STATON |
NPI Number: | 1497041271 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2202001031 |
Business Practice Address: | 3300 Rivermont Ave Lynchburg, VA - 245032030 |
Business Phone Number: | 4342004668 |
Business Fax Number: | 4342003003 |
Mailing Address: | 3300 Rivermont Ave, LYNCHBURG |
State: | VA |
Postal Code: | 245032030 |
Phone Number: | 4342004668 |
Fax Number: | 4342003003 |
NPI Enumeration Date: | 06/21/2011 |
NPI Last Update Date: | 06/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202001031 |
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 |