John Hackel

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

NPI 1760840458 · NPPES record last updated Feb 9, 2016

Key facts

NPI
1760840458
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL012576 (PA)
Practice address
448 Old Clairton Rd
Clairton, PA 15025-3034
Phone
(412) 653-1128
NPI assigned
Feb 9, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL012576 PA Yes

Addresses

Primary practice location

448 Old Clairton Rd
Clairton, PA 15025-3034

Mailing address

448 Old Clairton Rd
Clairton, PA 15025-3034
Phone (412) 653-1128

Other providers in Clairton, PA

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

Sources for this page

Verify at the official NPI Registry.