Provider Demographics
NPI:1972794824
Name:HERSCHEL, CHRISTY MURRELL (MA, CCC-SLP/L)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:MURRELL
Last Name:HERSCHEL
Suffix:
Gender:F
Credentials:MA, CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WAVERLY RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-4532
Mailing Address - Country:US
Mailing Address - Phone:610-633-7441
Mailing Address - Fax:
Practice Address - Street 1:20 WAVERLY RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-4532
Practice Address - Country:US
Practice Address - Phone:610-633-7441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007697235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist