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NPI Code Detail

MEDICARE: REACH FOR SPEECH LLC

MEDICARE: REACH FOR SPEECH LLC
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
1261Q00000XClinic/Center
2235Z00000XSpeech-Language PathologistSL006251LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457792095
Entity Type Code : Organization
Provider Name (Legal Business Name) : REACH FOR SPEECH LLC
Provider Business Mailing Address
First Line : 112 VALLEYVIEW AVE
Second Line :
City : ALIQUIPPA
State : PA
Zip : 15001-4735
Country : US
Telephone Number : 724-888-2548
Fax Number :
Provider Business Practice Location Address
First Line : 3399 BRODHEAD RD
Second Line : SUITE A
City : ALIQUIPPA
State : PA
Zip : 15001-1261
Country : US
Telephone Number : 724-888-2548
Fax Number : 724-888-2913
Authorized Official
Title or Position : SPEECH-LANGUAGE PATHOLOGIST
Name : MS. DEBRA ANN WYGANT
Credential : MA, CCC-SLP
Telephone Number : 724-888-2548
Provider Enumeration Date : 07/11/2013
Last Update Date : 02/04/2015

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Directions to “REACH FOR SPEECH LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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