Broadway, Marcel Leah
Broadway, Marcel Leah is an sole proprietor health care provider with primary practice located at 3721 Crescent Ct W , Whitehall PA 18052-3446. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Broadway, Marcel Leah can be contacted via phone (610) 820-7667.Contact Information
Primary practice address
3721 Crescent Ct W
Whitehall PA 18052-3446
Phone: (610) 820-7667
Fax: (610) 820-7671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL003763L | Pennsylvania |
Profile Details
| NPI number | 1205969136 |
|---|---|
| LBN Legal business name | Broadway, Marcel Leah |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Sep 26th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205969136 | NPPES |
| Pennsylvania | MEDICAID | 0019280600002 |
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