Healthcare Provider Details

I. General information

NPI: 1801706841
Provider Name (Legal Business Name): WILLOW TREE SPEECH & LANGUAGE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

167 LINDBERG DR
ALIQUIPPA PA
15001-1217
US

IV. Provider business mailing address

167 LINDBERG DR
ALIQUIPPA PA
15001-1217
US

V. Phone/Fax

Practice location:
  • Phone: 724-624-3907
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ELLORA FRANCICA
Title or Position: OWNER
Credential: MS CCC-SLP
Phone: 724-624-3907