Provider Demographics
NPI:1386984623
Name:DENK, ARMETTA (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ARMETTA
Middle Name:
Last Name:DENK
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 TATE RD
Mailing Address - Street 2:
Mailing Address - City:HOOKSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15050-1235
Mailing Address - Country:US
Mailing Address - Phone:724-508-5738
Mailing Address - Fax:
Practice Address - Street 1:810 W 8TH ST # OH43920
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-2302
Practice Address - Country:US
Practice Address - Phone:330-385-7132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-24
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK360235Z00000X
PASL011433235Z00000X
OHOH1289685235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1028642910001Medicaid