Provider Demographics
NPI:1346319241
Name:LOMBARDI, DEBBIE SHARROW (MS)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:SHARROW
Last Name:LOMBARDI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 SECOND AVE
Mailing Address - Street 2:SUITE D-204
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426
Mailing Address - Country:US
Mailing Address - Phone:610-454-1177
Mailing Address - Fax:610-454-0416
Practice Address - Street 1:555 SECOND AVE
Practice Address - Street 2:SUITE D-204
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426
Practice Address - Country:US
Practice Address - Phone:610-454-1177
Practice Address - Fax:610-454-0416
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT001000L231H00000X
PASL007891235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA023641Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER