Healthcare Provider Details

I. General information

NPI: 1639843675
Provider Name (Legal Business Name): THE SPEECH & LANGUAGE CENTER LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2021
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 WILMINGTON PIKE STE 102
WEST CHESTER PA
19382-8264
US

IV. Provider business mailing address

1107 TALCOSE LN
WEST CHESTER PA
19380-1851
US

V. Phone/Fax

Practice location:
  • Phone: 610-246-5855
  • Fax:
Mailing address:
  • Phone: 610-246-5855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE SHARKEY
Title or Position: OWNER/PARTNER
Credential:
Phone: 610-246-5855