Provider Demographics
NPI:1821210923
Name:TRIMBATH, MONICA LYNNE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:LYNNE
Last Name:TRIMBATH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 YORK ST
Mailing Address - Street 2:
Mailing Address - City:DUNBAR
Mailing Address - State:PA
Mailing Address - Zip Code:15431-1649
Mailing Address - Country:US
Mailing Address - Phone:724-277-2656
Mailing Address - Fax:
Practice Address - Street 1:80 OLD NEW SALEM RD
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-8902
Practice Address - Country:US
Practice Address - Phone:724-438-9042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008381235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist