Robert Maxwell, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Appomattox, VA
NPI 1679698682 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679698682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202005198 (VA)
- Practice address
- 176 Highland Ave.
Appomattox, VA 24522 - Phone
- (434) 352-8649
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- 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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202005198 | VA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202005198 | VA | Yes |
Addresses
Primary practice location
176 Highland Ave.
Appomattox, VA 24522
Mailing address
176 Highland Ave.
Appomattox, VA 24522
Phone (434) 352-8649
Other providers in Appomattox, VA
- Larry F Smith MD PC
- Lifeline Community Services LLC
- Samantha Paige Lovins
- Renee Mann
- Alexandra Marie March
- Medical Facilities of America Xlvi
- Jordan Molstre
- Rhondalyn Morgan
- Mary Josephine Murch
- Brenda Murphy
All providers in Appomattox, 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 Jul 8, 2007. 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.