Organization Name: | INDEPENDENT DEVELOPMENTAL ASSESSMEN |
NPI Number: | 1679609226 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA KAYE SHEPLER (SOLE PROPRIETOR) |
Mailing Address: | 5518 Route 119 Punxsutawney |
State: | PA US |
Postal Code: | 157674050 |
Phone Number: | 8144274206 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL004971L |
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 |