NPIMap

Danielle Bloomberg, SLP L

Individual provider Active NPI Speech-Language Pathologist · Whitehall, PA

NPI 1003987405 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1003987405
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL003304L (PA)
Practice address
3721 Crescent CT W
Whitehall, PA 18052-3446
Phone
(610) 820-7667
Fax
(610) 820-7671
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SL003304LPAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Miles & Associates, LLC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL003304L PA Yes

Addresses

Primary practice location

3721 Crescent CT W
Whitehall, PA 18052-3446

Mailing address

3721 Crescent CT W
Whitehall, PA 18052-3446
Phone (610) 820-7667

Other providers in Whitehall, PA

All providers in Whitehall, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.