Vine Speech Pathology, Corp.
NPI #1366901985 in Tannersville, Pennsylvania
Provider Information
- NPI Number
- 1366901985
- Entity Type
- Organization
- Organization Name
- Vine Speech Pathology, Corp.
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Mar 13, 2019
- Last Updated
- Mar 13, 2019
Practice Location
- Address
- 246 STADDEN RD STE 103
- City
- Tannersville
- State
- Pennsylvania
- ZIP Code
- 18372-7944
- Phone
- (570) 620-4346
Authorized Official
- Name
- CAROLINE DUARTE
- Title
- SPEECH LANGUAGE PATHOLOGIST/CEO
- Phone
- (570) 620-4346
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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