Provider Demographics
NPI:1346030590
Name:SPEECH VOICE FEEDING & SWALLOWING THERAPY CENTER OF CENTRAL PA
Entity type:Organization
Organization Name:SPEECH VOICE FEEDING & SWALLOWING THERAPY CENTER OF CENTRAL PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:CLEVENSTINE
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:814-933-8958
Mailing Address - Street 1:357 RAILROAD STREET
Mailing Address - Street 2:PO BOX 217
Mailing Address - City:RAMEY
Mailing Address - State:PA
Mailing Address - Zip Code:16671
Mailing Address - Country:US
Mailing Address - Phone:814-933-8958
Mailing Address - Fax:
Practice Address - Street 1:357 RAILROAD STREET
Practice Address - Street 2:
Practice Address - City:RAMEY
Practice Address - State:PA
Practice Address - Zip Code:16671
Practice Address - Country:US
Practice Address - Phone:814-933-8958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty