Provider Demographics
NPI:1508270232
Name:VESAY, JOANNE PALERMO (PHD)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:PALERMO
Last Name:VESAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BELLINGHAMSHIRE P
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-5657
Mailing Address - Country:US
Mailing Address - Phone:215-794-7772
Mailing Address - Fax:
Practice Address - Street 1:27 BELLINGHAMSHIRE PL
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-5657
Practice Address - Country:US
Practice Address - Phone:215-794-7772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL010140235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist