Provider Demographics
NPI:1609091339
Name:SAYEGH PEDIATRIC THERAPY SERVICES P.C.
Entity Type:Organization
Organization Name:SAYEGH PEDIATRIC THERAPY SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYEGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-502-1090
Mailing Address - Street 1:4150 REDBUD DR W
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-1952
Mailing Address - Country:US
Mailing Address - Phone:610-502-1090
Mailing Address - Fax:
Practice Address - Street 1:4150 REDBUD DR W
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-1952
Practice Address - Country:US
Practice Address - Phone:610-502-1090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007727235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101794675001Other13 DIGIT PROMISE PROVIDER