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General NPI Number Information
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NPI Number | 1568327633
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Entity Type | Organization
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Legal Business Name | CHOP-SOAR INTEGRATED AUTISM PROGRAM LLC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 60 BLACKSMITH RD STE 1
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City | NEWTOWN
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State | PA
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Zip | 18940-1847
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Country | US
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Telephone | 267-802-1701
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 QUEBEC ST STE 110
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City | DENVER
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State | CO
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Zip | 80207-2322
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SVP
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Name | DANIEL SPIEGEL
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Credential | MD
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Telephone | 618-851-1227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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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 |
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License Number State |
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