Provider Demographics
NPI:1710064787
Name:THOMPSON, ANNE MARIE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:MARIE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MS
Other - First Name:ANNE
Other - Middle Name:MARIE
Other - Last Name:DESNOYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:1511 CENTRE TURNPIKE
Mailing Address - Street 2:STEPPING STONES REHABILITATION INC PC
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961
Mailing Address - Country:US
Mailing Address - Phone:570-366-3722
Mailing Address - Fax:570-366-3781
Practice Address - Street 1:1511 CENTRE TURNPIKE
Practice Address - Street 2:STEPPING STONES REHABILITATION INC PC
Practice Address - City:ORWIGSBURG
Practice Address - State:PA
Practice Address - Zip Code:17961
Practice Address - Country:US
Practice Address - Phone:570-366-3722
Practice Address - Fax:570-366-3781
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003262L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012887050001Medicaid
PATH1759839OtherBLUE SHIELD
PA50049448OtherBLUE CROSS