Basic Information
| Provider Information | |||||||||
| NPI: | 1962529172 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOYES | ||||||||
| FirstName: | ANGELA | ||||||||
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| Credential: | MA CCCSLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20 WATERMAN AVE | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191183626 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2152423088 | ||||||||
| FaxNumber: | 2315247697 | ||||||||
| Practice Location | |||||||||
| Address1: | 850 PAPER MILL RD | ||||||||
| Address2: | |||||||||
| City: | GLENSIDE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190387833 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2152330920 | ||||||||
| FaxNumber: | 2152331247 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SL002308L | PA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.