Robert Joseph Angelo, SPEECH THERAPIST

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

NPI 1043376130 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043376130
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL000206L (PA)
Practice address
1 S Home Ave
Topton, PA 19562-1317
Phone
(610) 682-1427
Fax
(610) 682-1123
NPI assigned
Dec 31, 2006
Sex
Male
Sole proprietor
No

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
SL000206LPAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL000206L PA Yes

Addresses

Primary practice location

1 S Home Ave
Topton, PA 19562-1317

Mailing address

303 Elm St
Hamburg, PA 19526-1432
Phone (610) 562-8564

Other providers in Topton, PA

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

Sources for this page

Verify at the official NPI Registry.