Provider Demographics
NPI:1033639315
Name:SHROYER, ADRIANE JOY (M ED CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ADRIANE
Middle Name:JOY
Last Name:SHROYER
Suffix:
Gender:F
Credentials:M ED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 WILLOW VALLEY LAKES DRIVE
Mailing Address - Street 2:
Mailing Address - City:WILLOW STREET
Mailing Address - State:PA
Mailing Address - Zip Code:17584-9663
Mailing Address - Country:US
Mailing Address - Phone:717-464-6861
Mailing Address - Fax:717-464-8444
Practice Address - Street 1:900 WILLOW VALLEY LAKES DRIVE
Practice Address - Street 2:
Practice Address - City:WILLOW STREET
Practice Address - State:PA
Practice Address - Zip Code:17584-9663
Practice Address - Country:US
Practice Address - Phone:717-464-6861
Practice Address - Fax:717-464-8444
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01462L235Z00000X
PASL013960235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist