MEDICARE: CARLYE HEWITT M.ED

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	222Q00000X	Developmental Therapist		PA

General Provider Information

NPI Number	:	1770460610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLYE HEWITT M.ED

Provider Business Mailing Address
First Line	:	540 GLENDALE CIR
Second Line	:
City	:	SPRINGFIELD
State	:	PA
Zip	:	19064-3821
Country	:	US
Telephone Number	:	610-996-0935
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 GLENDALE CIR
Second Line	:
City	:	SPRINGFIELD
State	:	PA
Zip	:	19064-3821
Country	:	US
Telephone Number	:	610-996-0935
Fax Number	:

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

Provider Enumeration Date	:	08/20/2025
Last Update Date	:	08/20/2025

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