MEDICARE: THE HOPE LEARNING CENTER, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	221700000X	Art Therapist
3	222Q00000X	Developmental Therapist
4	225100000X	Physical Therapist
5	225A00000X	Music Therapist
6	225X00000X	Occupational Therapist
7	235Z00000X	Speech-Language Pathologist
8	225500000X	Respiratory/Developmental/Rehabilitative Specialist/Technologist

General Provider Information

NPI Number	:	1639351711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HOPE LEARNING CENTER, LLC

Provider Business Mailing Address
First Line	:	206 VILLAGE PL
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-5644
Country	:	US
Telephone Number	:	814-404-3787
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 VILLAGE PL
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-5644
Country	:	US
Telephone Number	:	814-404-3787
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ASHA MARIE PERSAUD
Credential	:	M.S.
Telephone Number	:	814-404-3787

Provider Enumeration Date	:	11/30/2007
Last Update Date	:	11/30/2007

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Directions to “THE HOPE LEARNING CENTER, LLC ” Practice Location

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