Marcel Leah Broadway, M.S., CCC-SLP
Speech-Language Pathologist, in Whitehall, PA. Individual provider (NPI-1).
NPI number1205969136
StatusActive
Last updated in NPPESSep 26, 2013
Details
- NPI
- 1205969136
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Marcel Leah Broadway
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2007
- Last updated
- Sep 26, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SL003763L | PA | Yes |
Practice location
3721 Crescent Ct WWhitehall, PA 18052-3446
Phone 610-820-7667 · Fax 610-820-7671
Mailing address
3721 Crescent Ct WWhitehall, PA 18052-3446
Phone 610-820-7667
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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