Provider Demographics
NPI:1386634566
Name:ADAMSKI, DENISE RENEE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:RENEE
Last Name:ADAMSKI
Suffix:
Gender:F
Credentials: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 TALON CT
Mailing Address - Street 2:
Mailing Address - City:LEECHBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15656-9510
Mailing Address - Country:US
Mailing Address - Phone:724-681-8871
Mailing Address - Fax:
Practice Address - Street 1:151 GOODVIEW DR
Practice Address - Street 2:
Practice Address - City:APOLLO
Practice Address - State:PA
Practice Address - Zip Code:15613-8527
Practice Address - Country:US
Practice Address - Phone:724-727-3451
Practice Address - Fax:724-727-2432
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL-005190-L225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner