Provider Demographics
NPI:1184253577
Name:TRAUGER, VICKI ANNE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:VICKI
Middle Name:ANNE
Last Name:TRAUGER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:ANNE
Other - Last Name:CONFALONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSCCC-SLP
Mailing Address - Street 1:1243 S CEDAR CREST BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6246
Mailing Address - Country:US
Mailing Address - Phone:610-402-9777
Mailing Address - Fax:610-402-9775
Practice Address - Street 1:1243 S CEDAR CREST BLVD STE 302
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6246
Practice Address - Country:US
Practice Address - Phone:610-402-9777
Practice Address - Fax:610-402-9775
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL002480L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist