Individual
MRS. BROOKE THOMAS DORSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
3023 WILMINGTON RD, NEW CASTLE, PA 16105-1242
(724) 656-8814
(724) 656-8815
Mailing address
300 SCOTTSDALE DR, MOON TOWNSHIP, PA 15108-9759
(724) 422-0278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007875
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011098780001
MEDICAL ASSISTANCE NUMBER
PA
Enumeration date
04/14/2007
Last updated
07/08/2007
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