Provider Demographics
NPI:1982829966
Name:HUFF, RONNA LYNN (MA CCC SLP)
Entity Type:Individual
Prefix:MS
First Name:RONNA
Middle Name:LYNN
Last Name:HUFF
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:MRS
Other - First Name:RONNA
Other - Middle Name:HUFF
Other - Last Name:LENZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC SLP
Mailing Address - Street 1:427 HICKORY AVENUE
Mailing Address - Street 2:
Mailing Address - City:WEEDVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15868
Mailing Address - Country:US
Mailing Address - Phone:814-787-7578
Mailing Address - Fax:814-486-3605
Practice Address - Street 1:110 CAMPUS DRIVE
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:PA
Practice Address - Zip Code:16701
Practice Address - Country:US
Practice Address - Phone:814-887-5591
Practice Address - Fax:814-887-5666
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003255L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019023950006Medicaid