| NPI Details | |
|---|---|
| NPI | 1386823144 |
| Gender | Female |
| Enumeration Date | 10/29/2007 |
| Last Updated | 01/30/2013 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 138 FRIENDSHIP CIR BEAVER PA, 15009-9714, US |
|
| Phone | (724) 774-6494 |
| Fax | |
| Business Location | |
|---|---|
| 131 SANGER DR BEAVER FALLS PA, 15010-9435, US |
|
| Phone | (724) 843-2754 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 235Z00000X |
| License State | Ohio |
| License Number | SP4040 |
| Remove 1386823144 NPI Number | |
According to our database, Georgia Lee Lough MA CCC/SLP NPI is 1386823144, taxonomy code is 235Z00000X and license number is SP4040, license state is located at Ohio. Georgia Lee Lough MA CCC/SLP physically located at 138 Friendship Cir, Beaver PA, 15009-9714. NPI Number Georgia Lee Lough MA CCC/SLP has the Individual type.
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1386823144 NPI number is provided on an as is basis without warranty of any kind. 1386823144 is maintained by the National Plan & Provider Enumeration System. The contents of Georgia Lee Lough MA CCC/SLP are for informational purposes only.
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