Provider Demographics
NPI:1962610089
Name:APS SPEECH PATHOLOGY ASSOCIATES, PLLC
Entity type:Organization
Organization Name:APS SPEECH PATHOLOGY ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:703-408-1839
Mailing Address - Street 1:8531 RADFORD AVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-2572
Mailing Address - Country:US
Mailing Address - Phone:703-408-1839
Mailing Address - Fax:703-780-5650
Practice Address - Street 1:8531 RADFORD AVE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2572
Practice Address - Country:US
Practice Address - Phone:703-408-1839
Practice Address - Fax:703-780-5650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202003568235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty