Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Randy Earl Wanttaja, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1265485726

Mr. Randy Earl Wanttaja, MA, CCC-SLP is a Speech-Language Pathologist in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

5301 Providence Rd Ste 80
Virginia Beach, VA 23464-4128
Phone: (757) 467-1900
Fax: (757) 467-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2202004535 (VA)

Record details

NPI number1265485726
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESJuly 13, 2026

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