Provider Demographics
NPI:1043462054
Name:SINOPOLI, ANNA WALKER (SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:WALKER
Last Name:SINOPOLI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6017 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-2648
Mailing Address - Country:US
Mailing Address - Phone:228-334-5035
Mailing Address - Fax:844-270-2749
Practice Address - Street 1:6017 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-2648
Practice Address - Country:US
Practice Address - Phone:228-334-5035
Practice Address - Fax:844-270-2749
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS3936235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1578008207OtherGROUP NPI
MS07705755Medicaid
MS09015077Medicaid