Provider Demographics
NPI:1538236161
Name:SPEECHCARE INC
Entity type:Organization
Organization Name:SPEECHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:KORNFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:717-569-8972
Mailing Address - Street 1:2137 EMBASSY DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2877
Mailing Address - Country:US
Mailing Address - Phone:717-569-8972
Mailing Address - Fax:717-569-7762
Practice Address - Street 1:2137 EMBASSY DR
Practice Address - Street 2:SUITE 103
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2877
Practice Address - Country:US
Practice Address - Phone:717-569-8972
Practice Address - Fax:717-569-7762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000013600007OtherEI MEDICAL ASSISTANCE