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NPI Code Detail

MEDICARE: LEAH C THOMAS SLP

MEDICARE: LEAH C THOMAS SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSL005940LPA

General Provider Information

NPI Number : 1073846341
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH C THOMAS SLP
Provider Business Mailing Address
First Line : 10 CAMELTOWN HILL RD
Second Line :
City : DANVILLE
State : PA
Zip : 17821-9589
Country : US
Telephone Number : 570-275-8445
Fax Number :
Provider Business Practice Location Address
First Line : 211 E 1ST ST
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-1405
Country : US
Telephone Number : 570-784-5930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2009
Last Update Date : 09/17/2009

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Directions to “ LEAH C THOMAS SLP” Practice Location

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