Doctor Name: | MR. GREGORY CHARLES DELDUCA |
NPI Number: | 1194719005 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., CCC-SLP |
License Number: | SL005935L |
Business Practice Address: | 1525 Freeport Rd Natrona Heights, PA - 150651339 |
Business Phone Number: | 4125591392 |
Business Fax Number: | 7248711388 |
Mailing Address: | 1114 Montana Ave, NATRONA HEIGHTS |
State: | PA |
Postal Code: | 150651334 |
Phone Number: | 4124273313 |
Fax Number: | 7248711388 |
NPI Enumeration Date: | 09/07/2005 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL005935L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |