MEDICARE: BIANCA ANGELICA WHORL M.S. CCC-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

General Provider Information

NPI Number	:	1326415803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIANCA ANGELICA WHORL M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	1001 N VERMONT ST APT 506
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-4766
Country	:	US
Telephone Number	:	561-699-5289
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 N VERMONT ST APT 506
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-4766
Country	:	US
Telephone Number	:	561-699-5289
Fax Number	:

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

Provider Enumeration Date	:	08/31/2015
Last Update Date	:	12/22/2022

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