MEDICARE: MARGARET MANSELL

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
1	235Z00000X	Speech-Language Pathologist	SL014331	PA

General Provider Information

NPI Number	:	1508581521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET MANSELL

Provider Business Mailing Address
First Line	:	2215 CATASAUQUA RD
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-1003
Country	:	US
Telephone Number	:	570-778-1512
Fax Number	:

Provider Business Practice Location Address
First Line	:	2215 CATASAUQUA RD
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-1003
Country	:	US
Telephone Number	:	570-778-1512
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2022
Last Update Date	:	10/12/2022

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Directions to “ MARGARET MANSELL ” Practice Location

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