Provider Demographics
NPI:1407637325
Name:DOYLE, NATASHA (MS SLP-CF)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:DOYLE
Suffix:
Gender:F
Credentials:MS SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:586 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3143
Mailing Address - Country:US
Mailing Address - Phone:215-307-6639
Mailing Address - Fax:
Practice Address - Street 1:1582 GOMPERS AVE
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-2581
Practice Address - Country:US
Practice Address - Phone:215-307-6639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist