Doctor Name: | SARA REILLY |
NPI Number: | 1215267273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SL009801 |
Business Practice Address: | 1229 Warm Springs Ave Huntingdon, PA - 166522350 |
Business Phone Number: | 8145068212 |
Business Fax Number: | 8145068213 |
Mailing Address: | Po Box 870, HUNTINGDON |
State: | PA |
Postal Code: | 166520870 |
Phone Number: | 8145068212 |
Fax Number: | 8145068213 |
NPI Enumeration Date: | 01/13/2010 |
NPI Last Update Date: | 01/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL009801 |
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 |