Provider Demographics
NPI:1073759122
Name:WINKLER, VANESSA NOEL (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:NOEL
Last Name:WINKLER
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WILDCAT DR
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:OH
Mailing Address - Zip Code:44851-9262
Mailing Address - Country:US
Mailing Address - Phone:419-929-1586
Mailing Address - Fax:
Practice Address - Street 1:1 WILDCAT DR
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:OH
Practice Address - Zip Code:44851-9262
Practice Address - Country:US
Practice Address - Phone:419-929-1586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-19
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH9418235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist