Provider Demographics
NPI:1598918013
Name:RAIBLE, WHITNEY STRATTON (SLP)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:STRATTON
Last Name:RAIBLE
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 1:12118 SABLE CT
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1658
Mailing Address - Country:US
Mailing Address - Phone:804-314-2697
Mailing Address - Fax:
Practice Address - Street 1:12118 SABLE CT
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-1658
Practice Address - Country:US
Practice Address - Phone:804-314-2697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202005294235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist