1548806086 NPI number — BRIGHTER PATHWAYS SPEECH AND SWALLOWING SERVICES

Table of content: VALERIE ANN STANLEY NP (NPI 1689696171)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548806086 NPI number — BRIGHTER PATHWAYS SPEECH AND SWALLOWING SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRIGHTER PATHWAYS SPEECH AND SWALLOWING SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548806086
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/04/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
84 TRUMP RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DANVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17821-9375
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
418 RAILROAD ST STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DANVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17821-1547
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-979-1199
Provider Business Practice Location Address Fax Number:
800-592-9749
Provider Enumeration Date:
11/19/2019

Additional Information

Authorized Official

Authorized Official Last Name:
YEAGER
Authorized Official First Name:
HAZLEY
Authorized Official Middle Name:
Authorized Official Title or Position:
SPEECH-LANGUAGE PATHOLOGIST
Authorized Official Telephone Number:
570-979-1199

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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