Organization Name: | SPEECH & COUNSELING SERVICES OF BRYN MAWR, LLC. |
NPI Number: | 1598070385 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VANESSA PADDOCK (MANAGING PARTNER) |
Mailing Address: | 212 Lee Cir Bryn Mawr |
State: | PA US |
Postal Code: | 190103726 |
Phone Number: | 6107450590 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2010 |
NPI Last Update Date: | 08/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL007567 |
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 |