Active NPI
Debra Jo Ghaner, SLP
- Speech-Language Pathologist
- Martinsburg, PA
National Provider Identifier
1124217344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL004682L
- Practice address
- 430 S Market St
Martinsburg, PA 16662-1605 - Phone
- (814) 793-1319
- Fax
- (814) 793-3654
- NPI assigned
- Oct 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL004682L | PA | Primary |
Addresses
Primary practice location
430 S Market St
Martinsburg, PA 16662-1605
Mailing address
430 S Market St
Martinsburg, PA 16662-1605
Phone (814) 793-1319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL004682L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1124217344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 S MARKET ST",
"city": "MARTINSBURG",
"state": "PA",
"postal_code": "166621605",
"telephone_number": "814-793-1319",
"fax_number": "814-793-3654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 S MARKET ST",
"city": "MARTINSBURG",
"state": "PA",
"postal_code": "166621605",
"telephone_number": "814-793-1319",
"fax_number": "814-793-3654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANER",
"first_name": "DEBRA",
"middle_name": "JO",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL004682L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.