Vanessa Wilson-Favors, MS, CCC-SLP/AUD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

06559 Issued in MD

Practice address

6008 Forest Rd
Cheverly, MD 20785-3036

Phone

(301) 322-4628

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1679044937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 FOREST RD",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207853036",
            "telephone_number": "301-322-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6008 FOREST RD",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207853036",
            "telephone_number": "301-322-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-FAVORS",
        "first_name": "VANESSA",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP/AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "06559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yongtao Wang
• Jessica Warning, PA-C
• Karyn E White, MD
• Patricia Naomi White
• Esther Hajaara Williams
• Jamal Andrade Winston
• Alemieneh Woldeyesus, M.D.
• Lenora Dianne Woolary, NP
• Laurie Katherine Yancey, CRNP
• Arnaud Lionel Pazisninwende Yanogo, MD

• Speech-Language Pathologist in Cheverly, MD
• Providers in Cheverly, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.