| Organization Name: | POCONO SPEECH CENTER, LLC |
| NPI Number: | 1477635621 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA SUE DE FINO (CO-OWNER) |
| Mailing Address: | 1219 N 5th St Stroudsburg |
| State: | PA US |
| Postal Code: | 183602646 |
| Phone Number: | 5704212232 |
| Fax Number: | 5704211825 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL004836L |
| 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 |