Doctor Name: | MOLLY VACCARO |
NPI Number: | 1528471067 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2202007360 |
Business Practice Address: | 302 N 2nd St Bridgewater, VA - 228121712 |
Business Phone Number: | 5408282550 |
Business Fax Number: | |
Mailing Address: | 134 Bowmans Run Dr, STUARTS DRAFT |
State: | VA |
Postal Code: | 244773051 |
Phone Number: | 5402901620 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2014 |
NPI Last Update Date: | 06/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202007360 |
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 |