Dallas A Sante
Individual provider Active NPI Speech-Language Pathologist · Carrollton, VA
NPI 1780298166 · NPPES record last updated Mar 3, 2026
Key facts
- NPI
- 1780298166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202009653 (VA)
- Practice address
- 14440 New Towne Haven LN
Carrollton, VA 23314-2910 - Phone
- (757) 357-8850
- NPI assigned
- Sep 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202009653 | VA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202009653 | VA | Yes |
Addresses
Primary practice location
14440 New Towne Haven LN
Carrollton, VA 23314-2910
Mailing address
5 Brown CT
Portsmouth, VA 23701-2220
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All providers in Carrollton, 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 Mar 3, 2026. 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.