ADVANCED DYSPHAGIA DIAGNOSTICS LLC


Address: 206 Main St, Shippenville, PA 16254-3906
Phone: 9092135967

ADVANCED DYSPHAGIA DIAGNOSTICS LLC (NPI# 1891339156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891339156
Entity Type Organization
Organization Name ADVANCED DYSPHAGIA DIAGNOSTICS LLC
Practice Address 206 Main St
Shippenville
PA 16254-3906
Mailing Address 2233 E Main St
Montrose
CO 81401-3831
Practice Telephone 9092135967
Practice Fax Number 5093564607
Mailing Telephone 9707650818
Mailing Fax Number 9704978410
Enumeration Date 2019-10-30
Last Update Date 2019-10-30
Authorized Official Name KIMBERLY A GEMMELL (OWNER)
Authorized Official Telephone 9092135967
Authorized Official Credential SLP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1558902361 Advanced Dysphagia Diagnostics LLC Speech-Language Pathologist 1465 S Ute Dr, Salt Lake City, UT 84108-2433 2019-10-02
1194181206 Advanced Dysphagia Diagnostics LLC Speech-Language Pathologist 611 E Star Ct, Montrose, CO 81401-6704 2016-01-05

Office Location

Street Address 206 MAIN ST
City SHIPPENVILLE
State PA
Zip Code 16254-3906

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659393155 Brenda Arlene Manno Social Worker 20231 Paint Boulevard, Shippenville, PA 16254 2006-07-24
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1255302071 Clarion Development Corporation Pharmacy 21159 Paint Blvd, Suite #1, Shippenville, PA 16254 2006-01-30
1376536011 Vna Extended Care Services, Inc Home Health 405 Main Street, Shippenville, PA 16254-0100 2005-08-29
1497741466 Shippenville Elk Township Volunt Ambulance 207 Main St, Shippenville, PA 16254-3905 2005-09-23
1518932334 Janice Marie Kenneson Family Medicine 21159 Paint Blvd, Suite 2, Shippenville, PA 16254-4023 2006-02-23
1396180089 Health Services of Clarion Inc Non-Pharmacy Dispensing Site 21159 Paint Blvd, Suite 2, Shippenville, PA 16254-4023 2013-05-08
1689983520 Ashley Nicole Kunselman Family Medicine 21159 Paint Blvd, Suite 2, Shippenville, PA 16254-4023 2010-09-27
1649593500 Nicole Carroll Family Medicine 21159 Paint Blvd, Suite 2, Shippenville, PA 16254-4023 2010-03-08
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699123158 Courtney Lyn Lewis Speech-Language Pathologist 90 Bigley Rd, Shippenville, PA 16254-4902 2016-05-25
1003141425 Sandra Ellen Clark Speech-Language Pathologist 242 Maple Dr, Shippenville, PA 16254-9022 2009-10-03
1134354665 Krista Weber Speech-Language Pathologist 124 Sycamore Dr, Shippenville, PA 16254-8722 2009-05-28
1679915201 Melissa Sue Pore Speech-Language Pathologist 21158 Paint Blvd, Shippenville, PA 16254-4024 2013-07-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366043390 Haley White Speech-Language Pathologist 716 N Bethlehem Pike Ste 103, Lower Gwynedd, PA 19002-2656 2020-11-05
1841891975 Devin Jill Kuronya Speech-Language Pathologist 1471 1st St, Bethlehem, PA 18020-6426 2020-11-04
1265032395 Amanda Chalofsky Speech-Language Pathologist 760 Newtown Yardley Rd Ste 121, Newtown, PA 18940-4500 2020-10-28
1942808894 Jessica Lynn Walls Speech-Language Pathologist 2574 Hogback Hill, Mineral Springs, PA 16855 2020-10-13
1821696931 Abigail Stern Speech-Language Pathologist 4827 Umbria St, Philadelphia, PA 19127-1916 2020-10-12
1972100386 Brittany Furnari Speech-Language Pathologist 220 Jameson Way, Seven Fields, PA 16046-4336 2020-10-08
1427655885 Nicole Crinella Speech-Language Pathologist 1232 Livey St, Archbald, PA 18403-2334 2020-10-07
1679170468 Help Me Grow Therapeutic Services, LLC Speech-Language Pathologist 310 N Lehigh St, Tamaqua, PA 18252-1126 2020-10-05
1750988754 Jennifer M Lisberger Speech-Language Pathologist 130 N 2nd St Unit 2c, Philadelphia, PA 19106-4604 2020-10-04
1942807102 On Your Voice LLC Speech-Language Pathologist 835 Rock Ln, Elkins Park, PA 19027-1213 2020-10-01
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Competitor

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City SHIPPENVILLE
Zip Code 16254

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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