Basic Information
| Provider Information | |||||||||
| NPI: | 1902466915 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PFLEIGER | ||||||||
| FirstName: | CARRIE | ||||||||
| MiddleName: | OLIVIA | ||||||||
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| Credential: | M.A., CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 314 IONA AVE | ||||||||
| Address2: | |||||||||
| City: | NARBERTH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190721927 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178872388 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 5666 CLYMER RD | ||||||||
| Address2: | |||||||||
| City: | QUAKERTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189513264 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155383488 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2019 | ||||||||
| LastUpdateDate: | 02/08/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SL015332 | PA | N | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 235Z00000X | 2204000257 | VA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.