Healthcare Provider Details

I. General information

NPI: 1629888946
Provider Name (Legal Business Name): CLEAR SPEECH, LANGUAGE, & HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 W MAIN ST
LANSDALE PA
19446-2008
US

IV. Provider business mailing address

418 W MAIN ST
LANSDALE PA
19446-2008
US

V. Phone/Fax

Practice location:
  • Phone: 267-529-5723
  • Fax:
Mailing address:
  • Phone: 267-529-5723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. MARY KATHERINE MCSHANE
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential:
Phone: 267-529-5723