Provider Demographics
NPI:1447787874
Name:TAMBURELLO, ANNE MARIE
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MARIE
Last Name:TAMBURELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1028 BELLS RD STE 111
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-5845
Mailing Address - Country:US
Mailing Address - Phone:757-409-3495
Mailing Address - Fax:833-924-0333
Practice Address - Street 1:1028 BELLS RD STE 111
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-5845
Practice Address - Country:US
Practice Address - Phone:757-409-3495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-16
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202007249235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty