Provider Demographics
NPI:1174862825
Name:LABAR, NOELLE (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:NOELLE
Middle Name:
Last Name:LABAR
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:NOELLE
Other - Middle Name:HEREDIA
Other - Last Name:MICHAELS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:215 OAK ST
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-2910
Mailing Address - Country:US
Mailing Address - Phone:201-919-4805
Mailing Address - Fax:
Practice Address - Street 1:215 OAK ST
Practice Address - Street 2:
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-2910
Practice Address - Country:US
Practice Address - Phone:201-919-4805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00579100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist