Early Intervention Professionals

Speech-Language Pathologist · Shavertown, PA

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At a glance

120 Wakefield Rd, Shavertown, PA 18708-9760

NPPES record updated Sep 26, 2022. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

120 Wakefield Rd
Shavertown, PA 18708-9760
Professional details: NPI, taxonomy & registry record
NPI1790842045
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Registry details

Primary taxonomy
Speech-Language Pathologist
Taxonomy code
235Z00000X
Enumeration date
Jan 3, 2007
Record updated
Sep 26, 2022
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Physical Therapist

225100000X

Occupational Therapist

225X00000X

Speech-Language Pathologist

235Z00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

120 Wakefield Rd
Shavertown, PA 18708-9760
Phone
(570) 760-4377
Mailing address
120 WAKEFIELD RD

SHAVERTOWN, PA 187089760
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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