Victoria Lynn Wang, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

112785 Issued in AK

Practice address

12350 Industry Way Ste 202
Anchorage, AK 99515-4301

Phone

(907) 301-4588

NPI assigned

Aug 16, 2016

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

Other names 1

• Ms. Victoria Lynn Arvizu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Learning Adventures Inc

  • Speech-Language Pathologist
  • Chatsworth, CA
  • NPI 1881438968
  NPD Authorized official

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1962957209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11286 WOOD RIVER WAY",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777313",
            "telephone_number": "818-634-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 INDUSTRY WAY STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995154301",
            "telephone_number": "907-301-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AK",
            "license": "112785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "ARVIZU",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "SLPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Wandersee, PTA
• Nolan Wandersee, OTR/L
• John William Wanek, PHARMD
• Andrea Susan Wang, MD
• Rebecka Wang
• Kimberley A Ward-Massey
• Colleen H Ward-Wilson
• Audrey Ardette Ward
• Benjamin Alexander Ward, OPTICIAN
• Heather Lynn Ward, LPC

• Speech-Language Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Speech-Language Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.