Doctor Name: | MRS. SANDRA TOMMARELLO |
NPI Number: | 1477780815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. CCC/SLP |
License Number: | SL003893L |
Business Practice Address: | 118 Lost Lake Ct Mars, PA - 160463930 |
Business Phone Number: | 7247767363 |
Business Fax Number: | |
Mailing Address: | 118 Lost Lake Ct, MARS |
State: | PA |
Postal Code: | 160463930 |
Phone Number: | 7247767363 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2009 |
NPI Last Update Date: | 06/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL003893L |
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 |