Danielle Locke, M.S., CCC-SLP

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

NPI 1437375110 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1437375110
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL007731 (PA)
Practice address
773 Saint Johns Rd
Drums, PA 18222-1803
Phone
(570) 788-8320
Fax
(570) 788-8321
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

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
SL007731PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Early Years Intervention Services, Inc. Speech-Language Pathologist Past Accepting new patients
LG Intervention Specialists, Inc. Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL007731 PA Yes

Addresses

Primary practice location

773 Saint Johns Rd
Drums, PA 18222-1803

Mailing address

PO Box 394
Gordon, PA 17936-0394
Phone (570) 590-2659

Other identifiers

IdentifierTypeStateIssuer
1017212580003MedicaidPA

Other providers in Drums, PA

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

Sources for this page

Verify at the official NPI Registry.