Organization
ALPHA SPEECH & LANGUAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN SHEPPARD M.A., CCC-SLP (DIRECTOR)
(814) 451-0940
Entity
Organization
Contact information
Practice address
2642 GLENWOOD PARK AVE, ERIE, PA 16508-1811
(814) 451-0940
(814) 451-0940
Mailing address
2642 GLENWOOD PARK AVE, ERIE, PA 16508-1811
(814) 451-0940
(814) 451-0940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL002438L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016078130001
—
PA
01
—
145112
HEALTH AMERICA/HEALTH ASS
PA
01
—
597636
US HEALTHCARE
PA
01
—
AL486390
HIGHMARK BLUE CROSS/BLUE
PA
Enumeration date
10/08/2005
Last updated
08/22/2020
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