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General NPI Number Information
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NPI Number | 1255570602
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Entity Type | Organization
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Legal Business Name | CENTRAL DELAWARE SPEECH-LANGUAGE PATHOLOGY, INC.
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Dates
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Enumeration Date | 02/09/2009
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 541 S RED HAVEN LN
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City | DOVER
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State | DE
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Zip | 19901-6483
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Country | US
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Telephone | 302-674-3350
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Fax | 928-752-3350
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Provider Business Mailing Address
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Address Line | 541 S RED HAVEN LN
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City | DOVER
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State | DE
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Zip | 19901-6483
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Country | US
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Telephone | 302-674-3350
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Fax | 928-752-3350
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | KATHLEEN ANDERSON
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Credential | M.S. CCC-SLP
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Telephone | 302-674-3350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 01-03-1130
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 01-0001086
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License Number State | DE
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