Provad-Professional Voice Advantage

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL004294L Issued in PA

Legal business name

PROVAD-PROFESSIONAL VOICE ADVANTAGE

Practice address

950 Front St
Hershey, PA 17033-9775

Phone

(717) 979-1815

NPI assigned

May 29, 2007

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ann Meckely Panchik, MA, CCC-SLPNPI 1417065145

Title

Speech-Language Pathologist

Phone

(717) 979-1815

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann Meckley Panchik, MA, CCC-SLP

  • Speech-Language Pathologist
  • Hershey, PA
  • NPI 1417065145
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1760683858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 FRONT ST",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170339775",
            "telephone_number": "717-979-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 FRONT ST",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170339775",
            "telephone_number": "717-979-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVAD-PROFESSIONAL VOICE ADVANTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "PANCHIK",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MECKELY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "717-979-1815",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL004294L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE ID",
            "identifier": "1000036780005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel P Procaccini
• Beth Progin, NP
• Progressive Dental Concepts LLC (Crosstown Dental Group Hershey)
• Amie Prokop, PA-C
• Susan Promes, M.D.
• Jansie Prozesky, MD
• Ruby Blue Pruitt, PA-C
• PSHR Physical Therapy, LLC (Select Physical Therapy)
• Psychological Health Affiliates LLC
• Psychological Services of Hershey

• Speech-Language Pathologist in Hershey, PA
• Providers in Hershey, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.