Provider Demographics
NPI:1306431234
Name:FRANKEL, VIRGINIA EMMA (MED, MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:EMMA
Last Name:FRANKEL
Suffix:
Gender:F
Credentials:MED, MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 CAPE CORAL PKWY E STE 19A
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-8548
Mailing Address - Country:US
Mailing Address - Phone:239-410-4045
Mailing Address - Fax:
Practice Address - Street 1:621 CAPE CORAL PKWY E STE 19A
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-8548
Practice Address - Country:US
Practice Address - Phone:239-410-4045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-03
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ9981235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110984800Medicaid