Provider Demographics
NPI:1962536037
Name:DELANEY, ANNE M (PHD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:DELANEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:M
Other - Last Name:DEMICHELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:671 BERKMAR CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1406
Mailing Address - Country:US
Mailing Address - Phone:434-234-8806
Mailing Address - Fax:434-321-1628
Practice Address - Street 1:671 BERKMAR CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1406
Practice Address - Country:US
Practice Address - Phone:434-234-8806
Practice Address - Fax:434-321-1628
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001075231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009451331Medicaid
VA009451331Medicaid
VA640000099Medicare PIN