Vine Speech Pathology, Corp.
Speech-Language Pathologist, in Tannersville, PA. Organization (NPI-2).
NPI number1366901985
StatusActive
Last updated in NPPESMar 13, 2019
Details
- NPI
- 1366901985
- Entity type
- Organization (NPI-2)
- Legal business name
- Vine Speech Pathology, Corp.
- Organization subpart
- No
- Enumeration date
- Mar 13, 2019
- Last updated
- Mar 13, 2019
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, | – | – | Yes |
Practice location
246 Stadden Rd Ste 103Tannersville, PA 18372-7944
Phone 570-620-4346 · Fax 570-620-4342
Mailing address
134 Beehler RdStroudsburg, PA 18360-7663
Phone 347-310-5985 · Fax 570-620-4342
Authorized official
Caroline Duarte
Speech Language Pathologist/Ceo
5706204346
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