Individual
MRS. CHRISTY JOAN THATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1 TURRET DR, LIMERICK, PA 19468-4317
(610) 304-6387
Mailing address
1 TURRET DR, LIMERICK, PA 19468-4317
(610) 304-6387
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61017780
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LL61017780
—
WA
05
—
SL006456L
—
PA
Enumeration date
07/21/2022
Last updated
07/21/2022
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