| Doctor Name: | MRS. LUCILLE A WAKEFIELD |
| NPI Number: | 1659607646 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA/CCC-SLP |
| License Number: | SL000889L |
| Business Practice Address: | 1500 Woodland St Lebanon, PA - 170426563 |
| Business Phone Number: | 7176752174 |
| Business Fax Number: | 7172706819 |
| Mailing Address: | 320 Highland Dr, P.o. Box 527 MOUNTVILLE |
| State: | PA |
| Postal Code: | 175541232 |
| Phone Number: | 7172857121 |
| Fax Number: | 7172855302 |
| NPI Enumeration Date: | 10/26/2009 |
| NPI Last Update Date: | 10/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL000889L |
| 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 |