ANGELA GORDON VICK M.ED, CCC-SLP
NPI 1174695019
Speech-Language Pathologist in Leesburg, GA

Active since November 15, 2006
244 LONG PINE DR, LEESBURG, GA 31763(229) 395-9255 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Speech-Language Pathologist

About ANGELA VICK

This page provides the complete NPI Profile along with additional information for Angela Vick, a provider established in Leesburg, Georgia with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1174695019 assigned on November 2006. The practitioner's primary taxonomy code is 235Z00000X with license number SLP004869 (GA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1174695019 Verify this NPI
Provider Name
ANGELA GORDON VICK M.ED, CCC-SLP
Gender
Female
Entity Type
Individual
Location Address
244 LONG PINE DR LEESBURG, GA 31763
Location Phone
(229) 395-9255
Mailing Address
244 LONG PINE DR LEESBURG, GA 31763
Mailing Phone
(229) 395-9255
Is Sole Proprietor?
No
Enumeration Date
11-15-2006
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
SLP004869
License State
GA
Taxonomy Description
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174695019, enumerated as an "individual" on November 15, 2006.

The provider is located at 244 LONG PINE DR LEESBURG, GA 31763 and the phone number is (229) 395-9255.

Speech-Language Pathologist with taxonomy code 235Z00000X.