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Contact Information

MICHELLE S BASALYGA, MA CCC-SLP
242 NOBLE RD
CLARKS SUMMIT, PA18411-9406
 Phone: 570-587-5101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MICHELLE S BASALYGA · (Female)

NPI Number 1457492050
Status Active
Credentials MA CCC-SLP
Entity Individual
Enumeration date 02/08/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # SL002711L
  • PA Other 11226913 CAQH ID
  • PA Other 2601606 PROVIDER #
  • PA Other 758735 PROVIDER #
  • PA Other SL002711L STATE LICRNSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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