Evelyn Farah
Individual provider Active NPI Speech-Language Pathologist · Bath, PA
NPI 1346842200 · NPPES record last updated Nov 14, 2020
Key facts
- NPI
- 1346842200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL015279 (PA)
- Practice address
- 7599 Beth Bath Pike
Bath, PA 18014-8968 - Phone
- (610) 365-8989
- Fax
- (610) 365-8994
- NPI assigned
- Nov 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL015279 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Backyard Treehouse Pediatric Therapy Center PC | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL015279 | PA | Yes |
Addresses
Primary practice location
7599 Beth Bath Pike
Bath, PA 18014-8968
Mailing address
1731 Lermoos CT
East Stroudsburg, PA 18301-8622
Phone (732) 306-3873
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All providers in Bath, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.