National Provider Identifier Database

LYCOMING COUNTY CRIPPLED CHILDRENS
Speech-Language Pathologist

A speech pathologist is a person qualified by a master?s degree in speech-language pathology, and where applicable, licensed by the state and practicing within the scope of the license. Also, known as speech therapist, a speech pathologist evaluates patients with language and speech impairments or disorders, whether arising from physiological and neurological disturbances, defective articulation or foreign dialects, and conducts remedial programs designed to restore or improve their communication efficacy. Speech pathologists assess and treat persons with speech, language, voice, and fluency disorders.


Contact Information

LYCOMING COUNTY CRIPPLED CHILDREN'S
625 W EDWIN ST
WILLIAMSPORT, PA17701
Phone: 570-326-0565
Fax: 570-329-2522
Website:
Specialty Taxonomy Code
* Speech-Language Pathologist 235Z00000X
Clinical 103TC0700X
Clinical Neuropsychologist 103G00000X
Occupational Therapist 225X00000X
Physical Therapist 225100000X
Psychologist 103T00000X

* Indicates primary specialty

NPI Profile & details for LYCOMING COUNTY CRIPPLED CHILDREN'S

NPI Number 1104970227
Legal business name
LBN
LYCOMING COUNTY CRIPPLED CHILDREN'S
Authorized official ANTHONY PERROTTA - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/23/2007
Last updated 09/28/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: OC006418L
  • PA License #: PS005489L
  • PA License #: PT000490E
  • PA License #: PT002737L
  • PA License #: PT016332L
  • PA License #: SL000825L
  • PA License #: SL002712L
  • PA Medicaid: 100004601
  • PA Medicaid: 1000046010005
  • PA Other: 43093 GEISINGER HEALTH PLAN
  • PA Other: 000999239 HIGHMARK BLUE SHIELD

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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