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NPI Code Detail

MEDICARE: ANDREA FINK

MEDICARE: ANDREA FINK
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
1235Z00000XSpeech-Language Pathologist08377MD
2235Z00000XSpeech-Language Pathologist2202008098VA

General Provider Information

NPI Number : 1598123903
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA FINK
Provider Business Mailing Address
First Line : 2410 JEFFERSON ST SE
Second Line :
City : ROANOKE
State : VA
Zip : 24014-3312
Country : US
Telephone Number : 301-237-0296
Fax Number :
Provider Business Practice Location Address
First Line : 2410 JEFFERSON ST SE
Second Line :
City : ROANOKE
State : VA
Zip : 24014-3312
Country : US
Telephone Number : 301-237-0296
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2016
Last Update Date : 01/16/2025

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Directions to “ ANDREA FINK ” Practice Location

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