Pastalove, Paige Michelle

Pastalove, Paige Michelle is an individual health care provider with primary practice located at 3509 N Broad St , Philadelphia PA 19140-4105. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Pastalove, Paige Michelle can be contacted via phone (215) 707-3663.

Contact Information

Primary practice address
3509 N Broad St Philadelphia PA 19140-4105
Phone: (215) 707-3663
Fax: (215) 707-6417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201001352 Virginia
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 2101001621 Virginia
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AT006156 Pennsylvania

Profile Details

NPI number 1033371794
LBN Legal business name Pastalove, Paige Michelle
Credentials AU.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Mar 17th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033371794 NPPES
Virginia MEDICAID 1194803338
Virginia Other 362426
Virginia Other 1194803338

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