| Organization Name: | MARYWOOD UNIVERSITY SPEECH-LANGUAGE-HEARING CLINIC |
| NPI Number: | 1316019144 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREA M NOVAK (CLINIC DIRECTOR) |
| Mailing Address: | 2300 Adams Ave Mcgowan Center Scranton |
| State: | PA US |
| Postal Code: | 185091598 |
| Phone Number: | 5703486299 |
| Fax Number: | 5709614708 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |