| Early Intervention Professionals | |
|
120 Wakefield Rd, Shavertown, PA 18708-9760 | |
| (570) 760-4377 | |
| Not Available |
| Full Name | Early Intervention Professionals |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 120 Wakefield Rd, Shavertown, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790842045 | NPI | - | NPPES |
| 0017971460002 | Other | PA | MEDICAL ASSISTANCE EI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (NU) | Secondary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
| 235Z00000X | Speech-language Pathologist | (NU) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Early Intervention Professionals 120 Wakefield Rd, Shavertown, PA 18708-9760 Ph: (570) 760-4377 | Early Intervention Professionals 120 Wakefield Rd, Shavertown, PA 18708-9760 Ph: (570) 760-4377 |
Jream Team Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 29 Holcomb Rd, Shavertown, PA 18708 Phone: 570-574-5537 |
Kristine Nocito, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 120 Wakefield Rd, Shavertown, PA 18708 Phone: 570-760-4377 |