person
Mr. Randy Earl Wanttaja, MA,CCC-SLP
Speech-Language Pathologist in Virginia Beach, Virginia
NPI 1265485726

Randy Earl Wanttaja is a Speech-Language Pathologist based in Virginia Beach, VA. Randy Earl Wanttaja practices in Virginia Beach, VA and has the professional credentials of MA,CCC-SLP. The NPI Number for Randy Earl Wanttaja is 1265485726 and holds a License No. 2202004535 (Virginia).

The current practice location address for Randy Earl Wanttaja is 5301 Providence Rd, Virginia Beach, VA and can be reached out via phone at 757-467-1900 and via fax at 757-467-7900. You can also correspond with Randy Earl Wanttaja through the mailing address at 5301 PROVIDENCE RD, VIRGINIA BEACH, VA - 23464-4128 (mailing address contact number: 757-467-1900).

Location: 5301 Providence Rd, Virginia Beach, VA, 23464-4128
person
Provider Profile Details
NPI Number
1265485726
Provider Name
Randy Earl Wanttaja
Credential
MA,CCC-SLP
Provider Entity Type
Individual
Gender
Male
Address
5301 Providence Rd, Virginia Beach, VA, 23464-4128
Phone Number
757-467-1900
Fax Number
757-467-7900
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5301 Providence Rd
City
State
Zip
23464-4128
Phone Number
757-467-1900
Fax Number
757-467-7900
person
Provider Business Mailing Address Details
Address
5301 Providence Rd
City
State
Zip
23464-4128
Phone Number
757-467-1900
Fax Number
757-467-7900
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
License No.
2202004535 (Virginia)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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