Doctor Name: | MS. VICTORIA J PAGE |
NPI Number: | 1730200338 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 0000003181 |
Business Practice Address: | 137 Oostagala Dr Loudon, TN - 377746901 |
Business Phone Number: | 8658063583 |
Business Fax Number: | 8668585775 |
Mailing Address: | 137 Oostagala Dr, LOUDON |
State: | TN |
Postal Code: | 377746901 |
Phone Number: | 8658063583 |
Fax Number: | 8668585775 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 06/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0000003181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |