GABRIELLE DEFAZIO (NPI# 1073161659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073161659 |
Entity Type | Individual |
Full Name | GABRIELLE DEFAZIO |
Practice Address |
44 Broad Street Rd Manakin Sabot VA 23103-2213 |
Mailing Address |
350 New Fidelity Ct Garner NC 27529-2665 |
Practice Telephone | 8047847090 |
Practice Fax Number | 8047847090 |
Mailing Telephone | 9192582714 |
Mailing Fax Number | 4106484878 |
Enumeration Date | 2019-08-28 |
Last Update Date | 2019-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
Street Address |
44 BROAD STREET RD |
City | MANAKIN SABOT |
State | VA |
Zip Code | 23103-2213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811915432 | Louis A. Mazakas | Physical Therapist | 44 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2006-07-18 |
1932666856 | Suzie Spiller | Speech-Language Pathologist | 44 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2019-02-27 |
1538626486 | Jaclyn Banerjee | Speech-Language Pathologist | 44 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2019-02-27 |
1710444229 | Julia Marzec | Speech-Language Pathologist | 44 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2019-02-21 |
1659861904 | Callie A. Carter | Physical Therapist | 44 Broad Street Rd, Manakin Sabot, VA 23103 | 2018-05-12 |
1558869784 | Tidewater Physical Therapy LLC | Physical Therapist | 44 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2018-01-23 |
1699227256 | Phaedra Crisman | Speech-Language Pathologist | 44 Broad Street Rd, Route 250, Manakin Sabot, VA 23103-2213 | 2016-10-31 |
1801348529 | Stephanie Dodd | Physical Therapist | 44 Broad Street Rd, Route 250, Manakin Sabot, VA 23103-2213 | 2016-10-28 |
1083166748 | Deborah Atherholt | Speech-Language Pathologist | 44 Broad Street Rd, Route 250, Manakin Sabot, VA 23103-2213 | 2016-10-28 |
1154878288 | Erik Lineberry | Physical Therapist | 44 Broad Street Rd, Manakin Sabot, VA 23103 | 2016-09-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871123943 | Lois Hermann Phillips | Optometrist | 9 Gamebird Ct, Manakin Sabot, VA 23103 | 2020-01-17 |
1467615336 | Dr.peter Guhl | Optometrist | 50 Broadstreet Road, Manakin Sabot, VA 23103 | 2008-07-09 |
1952347122 | Peter Murchie | Dentist | 1606 Hockett Rd, #3, Manakin-sabot, VA 23103 | 2006-06-22 |
1063074987 | Mvp Consulting | Nurse Practitioner | 2180 Gum Dr, Manakin Sabot, VA 23103-2033 | 2019-07-01 |
1386024503 | Linda Fletcher | Case Manager/Care Coordinator | 686 Rockford Rd, Manakin Sabot, VA 23103-2128 | 2015-06-03 |
1043692916 | Family Care Services, LLC | Case Management | 686 Rockford Rd, Manakin Sabot, VA 23103-2128 | 2015-06-26 |
1306241575 | Centerville Family Practice, P.C. | Family Medicine | 46 Broad Street Rd, Suite A, Manakin Sabot, VA 23103-2213 | 2014-10-29 |
1356498281 | Jennifer M Dickerson | Occupational Therapist | 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2007-01-04 |
1922187608 | Centerville Cardinal Drug Center Inc | Pharmacy | 46a Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2006-11-03 |
1275621096 | Jennifer S Aaron | Physical Therapist | 38 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2006-10-10 |
Find all providers in zip 23103 |
Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316063761 | Deborah Jane Orr | Speech-Language Pathologist | 451 Dover Knoll Rd, Manakin Sabot, VA 23103-3117 | 2007-03-21 |
1932666856 | Suzie Spiller | Speech-Language Pathologist | 44 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2019-02-27 |
1538626486 | Jaclyn Banerjee | Speech-Language Pathologist | 44 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2019-02-27 |
1710444229 | Julia Marzec | Speech-Language Pathologist | 44 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2019-02-21 |
1699227256 | Phaedra Crisman | Speech-Language Pathologist | 44 Broad Street Rd, Route 250, Manakin Sabot, VA 23103-2213 | 2016-10-31 |
1083166748 | Deborah Atherholt | Speech-Language Pathologist | 44 Broad Street Rd, Route 250, Manakin Sabot, VA 23103-2213 | 2016-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578164562 | Madeline Summer Seymour | Speech-Language Pathologist | 315 Flyfoot Dr, Stephenson, VA 22656-1795 | 2020-11-05 |
1003417635 | Jaclyn Renae Melson | Speech-Language Pathologist | 1201 Broad Rock Blvd Bldg 514, Richmond, VA 23224-4915 | 2020-11-02 |
1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
1730789090 | Leah Condemi | Speech-Language Pathologist | 1602 Belle View Blvd # 735, Alexandria, VA 22307-6531 | 2020-10-27 |
1780282152 | Rachel Tsipora Chalom | Speech-Language Pathologist | 10565 Fairfax Blvd Ste 200, Fairfax, VA 22030-3104 | 2020-10-16 |
1023616786 | Sydney Miller | Speech-Language Pathologist | 115 Summerglen Rdg, Newport News, VA 23602-8319 | 2020-10-15 |
1295333433 | Ann Lockard Douthat | Speech-Language Pathologist | 3613 Graham Park Rd, Triangle, VA 22172-1101 | 2020-10-10 |
1326646688 | Kariin Timmons | Speech-Language Pathologist | 127 Peachtree Ln, Hampton, VA 23669-2203 | 2020-10-09 |
1679170880 | Carrington Croft Mulrooney | Speech-Language Pathologist | 10046 Oldfield Dr, Richmond, VA 23235-1812 | 2020-10-01 |
1710594940 | Madison Antus | Speech-Language Pathologist | 15201 Neabsco Mills Rd, Woodbridge, VA 22191-4005 | 2020-10-01 |
Find all providers with the same taxonomy |
City | MANAKIN SABOT |
Zip Code | 23103 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.