Provider Demographics
NPI:1619748993
Name:PASTAL, LEAH
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:PASTAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 VALLEY VIEW PL
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-7689
Mailing Address - Country:US
Mailing Address - Phone:717-304-2025
Mailing Address - Fax:
Practice Address - Street 1:107 VALLEY VIEW PL
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-7689
Practice Address - Country:US
Practice Address - Phone:717-304-2025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist