Provider Demographics
NPI:1821578477
Name:VERES, ANDREA M (MS/CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:ANDREA
Middle Name:M
Last Name:VERES
Suffix:
Gender:F
Credentials:MS/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2427 SAUCON CIR
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-5411
Mailing Address - Country:US
Mailing Address - Phone:484-553-7324
Mailing Address - Fax:610-601-1910
Practice Address - Street 1:2427 SAUCON CIR
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-5411
Practice Address - Country:US
Practice Address - Phone:484-553-7324
Practice Address - Fax:610-601-1910
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL013984235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASL013984Medicaid