Annette Marliese Patino-Gonzalez, M.S. CCC-SLP
Speech-Language Pathologist, in Newport News, VA. Individual provider (NPI-1).
NPI number1457856478
StatusActive
Last updated in NPPESJul 14, 2021
Details
- NPI
- 1457856478
- Entity type
- Individual (NPI-1)
- Name
- Annette Marliese Patino-Gonzalez
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2018
- Certification date
- Jul 14, 2021
- Last updated
- Jul 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2202006513 | VA | Yes |
Practice location
41 Old Oyster Point Rd Ste ENewport News, VA 23602-7177
Phone 757-223-1466 · Fax 757-233-1467
Mailing address
Po Box 412307Boston, MA 02241-2009
Phone 914-294-4050 · Fax 631-760-8306
Other practice locations
5523 Pebble Ln
Norfolk, VA 23502-4409
Norfolk, VA 23502-4409
Phone 757-892-3280
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