Angela Michelle Banduch, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

105028 Issued in TX

Practice address

210 Windwood LN
Victoria, TX 77904-2914

Phone

(210) 286-8069

NPI assigned

Aug 14, 2013

Last updated

Aug 14, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1801229760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WINDWOOD LN",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042914",
            "telephone_number": "210-286-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WINDWOOD LN",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042914",
            "telephone_number": "210-286-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDUCH",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reba Jane Baker
• Valerie Lyn Baker, O.D.
• Mary Jo Balentine, HEARING AID DISPENSE
• Grace A Ballard
• Shannon Balli
• Kelly C Banonis, NP
• Marianne Felice Fune Bantog, MD
• John Edward Barber, M.D.
• Zachary Barber
• Matthew Barnes

• Speech-Language Pathologist in Victoria, TX
• Providers in Victoria, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.