Talayne K Gates

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

NPI 1902124373 · NPPES record last updated May 11, 2010

Key facts

NPI
1902124373
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL009528 (PA)
Practice address
1780 Kendarbren Dirve
Jamison, PA 18929
Phone
(215) 489-8760
Fax
(215) 489-8766
NPI assigned
May 11, 2010
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

LicenseStateTypeSpecialty
SL009528PAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL009528 PA Yes

Addresses

Primary practice location

1780 Kendarbren Dirve
Jamison, PA 18929

Mailing address

124 Norris Rd
Biglerville, PA 17307-9631
Phone (717) 352-4631

Other providers in Jamison, PA

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

Sources for this page

Verify at the official NPI Registry.