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General NPI Number Information
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NPI Number | 1861561763
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Entity Type | Organization
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Legal Business Name | COLLEGEVILLE SPEECH AND HEARING, LLC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 555 SECOND AVENUE SUITE D-204
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City | COLLEGEVILLE
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State | PA
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Zip | 19426
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Country | US
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Telephone | 610-454-1177
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Fax | 610-454-0416
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Provider Business Mailing Address
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Address Line | 555 SECOND AVENUE SUITE D-204
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City | COLLEGEVILLE
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State | PA
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Zip | 19426
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Country | US
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Telephone | 610-454-1177
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Fax | 610-454-0416
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DEBBIE SHARROW LOMBARDI
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Credential | M.S.
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Telephone | 610-454-1177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AT001000L
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License Number State | PA
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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 | SL007891
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License Number State | PA
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