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Organization
POCONO SPEECH CENTER, LLC
Active
Organization
POCONO SPEECH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA SUE DE FINO MS, CCC-SLP (CO-OWNER)
(570) 421-2232
Entity
Organization
Contact information
Practice address
1219 N 5TH ST, STROUDSBURG, PA 18360-2646
(570) 421-2232
(570) 421-1825
Mailing address
1219 N 5TH ST, STROUDSBURG, PA 18360-2646
(570) 421-2232
(570) 421-1825
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL004836L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018260230003
—
PA
01
—
PO540401
BCBS GROUP ID #
PA
Enumeration date
10/19/2006
Last updated
08/22/2020
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