Doctor Name: | MR. CHRISTOPHER MICHAEL VENDEL |
NPI Number: | 1922281039 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. CCC-SLP |
License Number: | SP#2348 |
Business Practice Address: | 2900 Old Greenwood Rd Suite I Fort Smith, AR - 729034550 |
Business Phone Number: | 4796481888 |
Business Fax Number: | 4796481999 |
Mailing Address: | 615 Eastgate Dr, CHARLESTON |
State: | AR |
Postal Code: | 729339492 |
Phone Number: | 4792365392 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2007 |
NPI Last Update Date: | 12/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#2348 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |