Provider Demographics
NPI:1003029877
Name:ABINGTON SPEECH PATHOLOGY SERVICES INC.
Entity type:Organization
Organization Name:ABINGTON SPEECH PATHOLOGY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ORNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:AZULAY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:215-659-5599
Mailing Address - Street 1:3515 W MORELAND RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-3829
Mailing Address - Country:US
Mailing Address - Phone:215-659-5599
Mailing Address - Fax:215-790-3217
Practice Address - Street 1:3515 W MORELAND RD UNIT A
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-3829
Practice Address - Country:US
Practice Address - Phone:215-646-7880
Practice Address - Fax:215-790-3217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL006018L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000481170OtherINDEPENDENCE BLUE CROSS
CA94134OtherKAISER PERMANENTE
CA94320OtherKAISER PERMANENTE INSURANCE CO., SELF FUNDING CLAIMS