MEDICARE: CARALYN M WASNEECHAK M.S. 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	2202009207	VA
2	235Z00000X	Speech-Language Pathologist	022003-1	NY

General Provider Information

NPI Number	:	1053676460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARALYN M WASNEECHAK M.S. SLP

Provider Business Mailing Address
First Line	:	717 SHADOWFIELD CT
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23322-5873
Country	:	US
Telephone Number	:	315-272-5771
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 KRISTINA WAY
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-8917
Country	:	US
Telephone Number	:	315-272-5771
Fax Number	:

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

Provider Enumeration Date	:	07/11/2012
Last Update Date	:	01/21/2026

Similar Medicare Providers

1568901718 — PREMISE HEALTH OF VIRGINIA MEDICAL, P.C
Practice Location Address:

1421 KRISTINA WAY
CHESAPEAKE, VA
23320-8917

Practice Phone: 123-123-1234
Practice Fax:

1861118697 — MICHELE WELLS LMT
Practice Location Address:

1401 KRISTINA WAY STE 203
CHESAPEAKE, VA
23320-8917

Practice Phone: 757-297-2019
Practice Fax:

1215711981 — DANIELLE BOGEMA-OSWALT RBT, M.A., CAS, NCSP
Practice Location Address:

1421 KRISTINA WAY
CHESAPEAKE, VA
23320-8917

Practice Phone: 757-547-0153
Practice Fax:

1760245567 — BRYAN SHAW
Practice Location Address:

1403 KRISTINA WAY
CHESAPEAKE, VA
23320-8917

Practice Phone: 757-814-5646
Practice Fax:

1578397741 — KACEY L COPELAND
Practice Location Address:

1421 KRISTINA WAY
CHESAPEAKE, VA
23320-8917

Practice Phone: 757-547-0153
Practice Fax:

1376378588 — MRS. CATHERINE ELAINE STEVENS ED.S.
Practice Location Address:

1421 KRISTINA WAY
CHESAPEAKE, VA
23320-8917

Practice Phone: 757-494-7600
Practice Fax:

Directions to “ CARALYN M WASNEECHAK M.S. SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.