Provider Demographics
NPI:1194015560
Name:LABICK, MERI SUSAN (MS,CCC-SLP/L)
Entity Type:Individual
Prefix:MRS
First Name:MERI
Middle Name:SUSAN
Last Name:LABICK
Suffix:
Gender:F
Credentials:MS,CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 ELK DR
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-6011
Mailing Address - Country:US
Mailing Address - Phone:724-321-3740
Mailing Address - Fax:
Practice Address - Street 1:211 ELK DR
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-6011
Practice Address - Country:US
Practice Address - Phone:724-321-3740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003738L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist