Angela Marie Anklam, M.S.,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · MC Lean, VA
NPI 1518446830 · NPPES record last updated Aug 8, 2018
Key facts
- NPI
- 1518446830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202008950 (VA)
- Practice address
- 1739 Kirby Rd
MC Lean, VA 22101-4817 - Phone
- (703) 536-4344
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202008950 | VA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202008950 | VA | Yes |
Addresses
Primary practice location
1739 Kirby Rd
MC Lean, VA 22101-4817
Mailing address
604 Utterback Store Rd
Great Falls, VA 22066-3328
Phone (703) 626-4001
Other providers in MC Lean, VA
- Elizabeth Andrews
- Anez & Bitar Medical PC
- Angel Senior Home Care, LLC-McLean
- Amy J Angleman
- Anita N. Wasan MD PLC
- Robert Antoniuk
- Anxiety Institute of Virginia, LLC
- Ana Anzola
- Apex Medical Transport LLC
- Alidad Arabshahi
All providers in MC Lean, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.