MEDICARE: DEBORAH BOLANLE AKINYELE 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	06467	MD
2	374J00000X	Doula
3	235Z00000X	Speech-Language Pathologist	2202005945	VA
4	235Z00000X	Speech-Language Pathologist	SLP000360	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487968848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH BOLANLE AKINYELE CCC-SLP

Provider Business Mailing Address
First Line	:	3301 RICHMOND HWY STE 1028
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22305-3044
Country	:	US
Telephone Number	:	703-813-6330
Fax Number	:	301-710-6379

Provider Business Practice Location Address
First Line	:	3301 RICHMOND HWY STE 1028
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22305-3044
Country	:	US
Telephone Number	:	703-813-6330
Fax Number	:	301-710-6379

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

Provider Enumeration Date	:	07/27/2010
Last Update Date	:	12/20/2025

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Directions to “ DEBORAH BOLANLE AKINYELE CCC-SLP” Practice Location

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