Provider Demographics
NPI:1255624581
Name:LEPO, EMIL JEFFREY (MS/CCC-SLP)
Entity type:Individual
Prefix:
First Name:EMIL
Middle Name:JEFFREY
Last Name:LEPO
Suffix:
Gender:M
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 1:20 BIG SPRING TER
Mailing Address - Street 2:
Mailing Address - City:NEWVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17241-9129
Mailing Address - Country:US
Mailing Address - Phone:717-776-8255
Mailing Address - Fax:
Practice Address - Street 1:20 BIG SPRING TER
Practice Address - Street 2:
Practice Address - City:NEWVILLE
Practice Address - State:PA
Practice Address - Zip Code:17241-9129
Practice Address - Country:US
Practice Address - Phone:717-776-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004730L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist