Doctor Name: | ANGELA LANNAN |
NPI Number: | 1225265879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SL009942 |
Business Practice Address: | 51 Levi St Bloomsburg, PA - 178157786 |
Business Phone Number: | 5704283572 |
Business Fax Number: | 8889394190 |
Mailing Address: | 51 Levi St, BLOOMSBURG |
State: | PA |
Postal Code: | 178157786 |
Phone Number: | 5704283572 |
Fax Number: | 8889394190 |
NPI Enumeration Date: | 06/22/2009 |
NPI Last Update Date: | 09/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL009942 |
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 |