SHINE SPEECH LANGUAGE PATHOLOGY LLC NPI 1407594054

NPI Information

SHINE SPEECH LANGUAGE PATHOLOGY, LLC is a hearing and speech clinic center in Philadelphia, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. SHINE SPEECH LANGUAGE PATHOLOGY, LLC NPI is 1407594054. The provider is registered as an organization entity type.

The provider's business location address is:

2450 FEDERAL ST APT 2
PHILADELPHIA, PA
ZIP 19146-432
Phone: (717) 343-4073

The provider's authorized official is Lauren Bevan .
The authorized official title is Speech-language Pathologist and has the following contact phone number (717) 343-4073.

The enumeration date for this NPI number is 5/24/2022 and was last updated on 5/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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