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Organization
REACH FOR SPEECH LLC
Active
Organization
REACH FOR SPEECH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA ANN WYGANT MA, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(724) 888-2548
Entity
Organization
Contact information
Practice address
3399 BRODHEAD RD, SUITE A, ALIQUIPPA, PA 15001-1261
(724) 888-2548
(724) 888-2913
Mailing address
112 VALLEYVIEW AVE, ALIQUIPPA, PA 15001-4735
(724) 888-2548
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL006251L
PA
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028474050001
—
PA
Enumeration date
07/11/2013
Last updated
02/04/2015
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