Healthcare Provider Details

I. General information

NPI: 1477049914
Provider Name (Legal Business Name): ANNA P TRAHAN CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS ANNA POWERS

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 POPLAR HILL RD STE B
CHESAPEAKE VA
23321-5522
US

IV. Provider business mailing address

107 E 3RD AVE
FRANKLIN VA
23851-1719
US

V. Phone/Fax

Practice location:
  • Phone: 757-776-3088
  • Fax:
Mailing address:
  • Phone: 757-562-7000
  • Fax: 757-612-4499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2204000092
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: