Mr Randy Earl Wanttaja, MA, CCC-SLP in Virginia Beach, VA

Mr Randy Earl Wanttaja, MA, CCC-SLP is a Speech-language Pathologist based in Virginia Beach, Virginia. Mr Randy Earl Wanttaja is licensed to practice in Virginia (license number 2202004535) and his current practice location is 5301 Providence Rd, Suite 80, Virginia Beach, Virginia. He can be reached at his office (for appointments etc.) via phone at (757) 467-1900.

NPI number for Mr Randy Earl Wanttaja is 1265485726 and his current mailing address is 5301 Providence Rd, Suite 80, Virginia Beach, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265485726.

Contact Information

	Mr Randy Earl Wanttaja, MA, CCC-SLP
	5301 Providence Rd, Suite 80, Virginia Beach, VA 23464-4128
	(757) 467-1900
	(757) 467-7900

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Randy Earl Wanttaja
Gender	Male
Speciality	Speech-language Pathologist
Location	5301 Providence Rd, Virginia Beach, Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1265485726
Provider Enumeration Date: 05/18/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Randy Earl Wanttaja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265485726	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2202004535 (Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Randy Earl Wanttaja is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Randy Earl Wanttaja, MA, CCC-SLP 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464-4128 Ph: (757) 467-1900	Mr Randy Earl Wanttaja, MA, CCC-SLP 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464-4128 Ph: (757) 467-1900

Reviews and Comments

Speech-Language Pathologist in Virginia Beach, VA

Erin Ngov, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4560 South Blvd, Virginia Beach, VA 23452 Phone: 757-490-3223 Fax: 757-490-3867
North Star Speech And Language Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4301 Foreman Trl, Virginia Beach, VA 23456 Phone: 757-447-3463 Fax: 757-447-3462
Jillian Blaine, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1413 Laskin Rd, Virginia Beach, VA 23451 Phone: 757-263-2800
Tiffany M Rhodes, M.S. ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4560 South Blvd Ste 310, Virginia Beach, VA 23452 Phone: 757-490-3223
Lauren Schloss, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1604 Old Donation Pkwy, Virginia Beach, VA 23454 Phone: 757-937-7600
Natalie Trem, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4560 South Blvd, Virginia Beach, VA 23452 Phone: 757-490-3223
Melanie Larrimore, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4560 South Blvd, Virginia Beach, VA 23452 Phone: 757-490-3223

Mr Randy Earl Wanttaja, MA, CCC-SLP - Speech-Language Pathologist in Virginia Beach, VA