Provider Demographics
NPI:1437553641
Name:POYNTER, VANESSA HATCHER (MA, CCC SLP)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:HATCHER
Last Name:POYNTER
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 1:2301 COLUMBIA PIKE STE 125
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-4453
Mailing Address - Country:US
Mailing Address - Phone:703-201-8239
Mailing Address - Fax:202-333-1404
Practice Address - Street 1:2301 COLUMBIA PIKE STE 125
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-2220
Practice Address - Country:US
Practice Address - Phone:571-527-0818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCSLP000693235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist