DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RAEGAN MAE STANLEY SLP

MEDICARE: RAEGAN MAE STANLEY 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 Pathologist34243CA
2235Z00000XSpeech-Language PathologistSL012895PA
3237600000XAudiologist-Hearing Aid Fitter10975MD
4235Z00000XSpeech-Language Pathologist2202009502VA

General Provider Information

NPI Number : 1053761437
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAEGAN MAE STANLEY SLP
Provider Business Mailing Address
First Line : 650 N SHORELINE DR
Second Line :
City : WASILLA
State : AK
Zip : 99654-6677
Country : US
Telephone Number : 907-376-6363
Fax Number : 907-376-6366
Provider Business Practice Location Address
First Line : 900 COMMONWEALTH PL STE 200
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-4530
Country : US
Telephone Number : 570-317-1997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2016
Last Update Date : 08/26/2025

Similar Medicare Providers

1447121850 — INCLUSIVE CHILDREN CARE LLC,
Practice Location Address:
900 COMMONWEALTH PL STE 200
VIRGINIA BEACH, VA
23464-4530
Practice Phone: 804-214-7716
Practice Fax:
1427340876 — MS. TEAWANNA COOPER LCSWR QMHP-A/C M.ED.
Practice Location Address:
900 COMMONWEALTH PL STE 200
VIRGINIA BEACH, VA
23464-4530
Practice Phone: 757-788-3033
Practice Fax:
1801254487 — MR. ANTHONY DELMAR HOSKINS I LCSW, MAC, ACS
Practice Location Address:
900 COMMONWEALTH PL STE 200
VIRGINIA BEACH, VA
23464-4530
Practice Phone: 757-353-9616
Practice Fax: 757-313-6634
1811495260 — HKM MEDICAL SUPPLIES INC
Practice Location Address:
900 COMMONWEALTH PL STE 200
VIRGINIA BEACH, VA
23464-4530
Practice Phone: 757-772-0389
Practice Fax: 757-313-6634
1790332765 — WINDSOR HOSPICE CARE LLC
Practice Location Address:
900 COMMONWEALTH PL STE 200
VIRGINIA BEACH, VA
23464-4530
Practice Phone: 757-432-2144
Practice Fax: 757-782-8046
1255989851 — WINDSOR PALLIATIVE AND HOME CARE LLC
Practice Location Address:
900 COMMONWEALTH PL STE 200
VIRGINIA BEACH, VA
23464-4530
Practice Phone: 757-432-2144
Practice Fax: 757-782-8046

Directions to “ RAEGAN MAE STANLEY 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.