Carmen Bauer, M.S. CCC-SLP

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

NPI 1366958381 · NPPES record last updated Nov 14, 2024

Key facts

NPI
1366958381
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL011492 (PA)
Practice address
215 E Water St
Muncy, PA 17756-8828
Phone
(724) 681-4175
NPI assigned
Dec 28, 2017
Sex
Female
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SL011492PAMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: carmen.bauer@upmcdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL011492 PA Yes

Addresses

Primary practice location

215 E Water St
Muncy, PA 17756-8828

Mailing address

445 Thompson St
South Williamsport, PA 17702-7146

Other practice location 1

445 Thompson St
South Williamsport, PA 17702-7146
Phone (724) 681-4175

Other providers in Muncy, PA

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

Sources for this page

Verify at the official NPI Registry.