Provider Demographics
NPI:1265544993
Name:HINKLE, ANGELA PAIGE (SLP)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:PAIGE
Last Name:HINKLE
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 1:8531 RADFORD AVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-2572
Mailing Address - Country:US
Mailing Address - Phone:703-408-1839
Mailing Address - Fax:703-780-5650
Practice Address - Street 1:8531 RADFORD AVE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2572
Practice Address - Country:US
Practice Address - Phone:703-408-1839
Practice Address - Fax:703-780-5650
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202003568235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist