Sophia Deaner, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL015702 Issued in PA

Practice address

115 S Saint Johns Dr
Camp Hill, PA 17011-4147

Phone

(717) 761-4754

Fax

(717) 370-6315

NPI assigned

Sep 18, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sophia Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Therapy and Counseling Services

  • Occupational Therapist
  • Camp Hill, PA
  • NPI 1588213037

  Speech-Language Pathologist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1215764758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S SAINT JOHNS DR",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114147",
            "telephone_number": "717-761-4754",
            "fax_number": "717-370-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S SAINT JOHNS DR",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114147",
            "telephone_number": "717-761-4754",
            "fax_number": "717-370-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANER",
        "first_name": "SOPHIA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "THOMPSON",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sierra Nicole Davis, RN
• Venkateswara Rao Davuluri, M.D
• Yvonnie Dayrit
• Dca of Camp Hill LLC
• Kristeen De Leon
• Dearment Endocrinology LLC
• Rena C Dearment, MD
• Madison T Debone, PA-C
• Katelyn E Decarlo, MS OTR
• Paul Thomas Decker, PHARM.D.

• Speech-Language Pathologist in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.