Jennifer Zadeh, SLP
Individual provider Active NPI Speech-Language Pathologist · Spring Brook Township, PA
NPI 1528295748 · NPPES record last updated Jun 15, 2009
Key facts
- NPI
- 1528295748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL009570 (PA)
- Practice address
- 960 State Route 502
Spring Brook Township, PA 18444-6415 - Phone
- (570) 842-9195
- NPI assigned
- Jun 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| SL009570 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL009570 | PA | Yes |
Addresses
Primary practice location
960 State Route 502
Spring Brook Township, PA 18444-6415
Mailing address
960 State Route 502
Spring Brook Township, PA 18444-6415
Phone (570) 842-9195
Other providers in Spring Brook Township, PA
All providers in Spring Brook Township, 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 Jun 15, 2009. 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.