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NPI Code Detail

MEDICARE: ASHLEY MARIE VAN TROMP MS, SLP

MEDICARE: ASHLEY MARIE VAN TROMP MS, 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
1235Z00000XSpeech-Language PathologistWV

Other Identifiers

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

General Provider Information

NPI Number : 1659541506
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MARIE VAN TROMP MS, SLP
Provider Business Mailing Address
First Line : 1340 BRADDOCK PL
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-1693
Country : US
Telephone Number : 703-619-8000
Fax Number :
Provider Business Practice Location Address
First Line : 1340 BRADDOCK PL
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-1693
Country : US
Telephone Number : 703-619-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2008
Last Update Date : 04/12/2018

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