| Organization Name: | PENNSYLVANIA AUTISM ACTION CENTER LLC |
| NPI Number: | 1568809275 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE MEAENY DEMARSH (PRINCIPAL OWNER) |
| Mailing Address: | 6515 Route 209 Suite 3 Stroudsburg |
| State: | PA US |
| Postal Code: | 18360 |
| Phone Number: | 5708614255 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2013 |
| NPI Last Update Date: | 06/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |