Healthcare Provider Details

I. General information

NPI: 1487968848
Provider Name (Legal Business Name): DEBORAH BOLANLE AKINYELE CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 RICHMOND HWY STE 1028
ALEXANDRIA VA
22305-3044
US

IV. Provider business mailing address

3301 RICHMOND HWY STE 1028
ALEXANDRIA VA
22305-3044
US

V. Phone/Fax

Practice location:
  • Phone: 703-813-6330
  • Fax: 301-710-6379
Mailing address:
  • Phone: 703-813-6330
  • Fax: 301-710-6379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number06467
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202005945
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP000360
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: