Provider Demographics
NPI:1508751082
Name:LAMANTIA, NOELLE LOREN HAYS (AUD CCC-A)
Entity type:Individual
Prefix:
First Name:NOELLE
Middle Name:LOREN HAYS
Last Name:LAMANTIA
Suffix:
Gender:F
Credentials:AUD CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6041 WALLACE ROAD EXT STE 110
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7471
Mailing Address - Country:US
Mailing Address - Phone:412-321-2480
Mailing Address - Fax:724-934-2264
Practice Address - Street 1:6041 WALLACE ROAD EXT STE 110
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7471
Practice Address - Country:US
Practice Address - Phone:412-321-2480
Practice Address - Fax:724-934-2264
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT007037231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist