Autumn McDaniel

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

NPI 1629818604 · NPPES record last updated May 28, 2024

Key facts

NPI
1629818604
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
413 Clemens Dr
Dillsburg, PA 17019-1348
Phone
(717) 602-2848
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Path Pediatric Therapy LLC Speech-Language Pathologist Current
since Jun 2, 2024
Accepting new patients
Clear Path Pediatric Therapy LLC Current
since Jun 2, 2024
Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

413 Clemens Dr
Dillsburg, PA 17019-1348

Mailing address

413 Clemens Dr
Dillsburg, PA 17019-1348

Other providers in Dillsburg, PA

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

Sources for this page

Verify at the official NPI Registry.