Provider Demographics
NPI:1467678136
Name:MCGROARTY, JANE LOUISE (MED)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:LOUISE
Last Name:MCGROARTY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 CHEROKEE RD
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5127
Mailing Address - Country:US
Mailing Address - Phone:215-348-5424
Mailing Address - Fax:215-348-5424
Practice Address - Street 1:1101 LITTLE LN
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-1932
Practice Address - Country:US
Practice Address - Phone:215-794-0800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003001L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist