Organization
LG INTERVENTION SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENE SUSAN GABRIEL MS, CCC-SLP (PRESIDENT)
(570) 788-8320
Entity
Organization
Contact information
Practice address
773 ST. JOHNS ROAD, DRUMS, PA 18222-1803
(570) 788-8320
Mailing address
773 ST. JOHNS ROAD, DRUMS, PA 18222-1803
(570) 788-8320
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/16/2009
Last updated
01/21/2009
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