MEDICARE: MS. ANGELA LAMB YANCEY M.S. CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	16927	FL
2	235Z00000X	Speech-Language Pathologist	28357	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487217758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANGELA LAMB YANCEY M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	5834 WATERFORD OAKS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78250-7226
Country	:	US
Telephone Number	:	210-393-5880
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 W WASHINGTON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90018-1637
Country	:	US
Telephone Number	:	210-393-5880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2019
Last Update Date	:	10/07/2021

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Directions to “ MS. ANGELA LAMB YANCEY M.S. CCC-SLP” Practice Location

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