| Vine Speech Pathology, Corp. | |
|
246 Stadden Rd Ste 103, Tannersville, PA 18372-7944 | |
| (570) 620-4346 | |
| (570) 620-4342 |
| Full Name | Vine Speech Pathology, Corp. |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 246 Stadden Rd Ste 103, Tannersville, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366901985 | NPI | - | NPPES |
| 1035895390002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vine Speech Pathology, Corp. 134 Beehler Rd, Stroudsburg, PA 18360-7663 Ph: (347) 310-5985 | Vine Speech Pathology, Corp. 246 Stadden Rd Ste 103, Tannersville, PA 18372-7944 Ph: (570) 620-4346 |
Caroline Duarte, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 246 Stadden Rd Ste 103, Tannersville, PA 18372 Phone: 570-620-4346 Fax: 570-620-4342 | |
Ms. Lori Zerhouane, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Bon Sher Dr, Tannersville, PA 18372 Phone: 570-801-0516 |