Doctor Name: | LISA VANROEKEL |
NPI Number: | 1992934244 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4764 |
Business Practice Address: | 8341 Barrett Drive Manassas, VA - 20109 |
Business Phone Number: | 7032571069 |
Business Fax Number: | |
Mailing Address: | 11400 Kenton Drive, SILVER SPRING |
State: | MD |
Postal Code: | 209022552 |
Phone Number: | 3019467395 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2009 |
NPI Last Update Date: | 07/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4764 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |