Healthcare Provider Details

I. General information

NPI: 1982831079
Provider Name (Legal Business Name): PATRICIA TEMPLETON LABONTE M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA ELAINE TEMPLETON

II. Dates (important events)

Enumeration Date: 06/16/2009
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 SPRUCE AVE
ELSMERE DE
19805-2148
US

IV. Provider business mailing address

1502 SPRUCE AVE
ELSMERE DE
19805-2148
US

V. Phone/Fax

Practice location:
  • Phone: 302-552-3700
  • Fax:
Mailing address:
  • Phone: 302-522-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberO1-0001152
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: