Provider Demographics
NPI:1871706028
Name:ADVENT SPEECH AND FEEDING THERAPY, LLC
Entity type:Organization
Organization Name:ADVENT SPEECH AND FEEDING THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:TANIS
Authorized Official - Suffix:
Authorized Official - Credentials:CCC MS SLP/L
Authorized Official - Phone:610-392-4339
Mailing Address - Street 1:3376 LINDEN STREET
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-1928
Mailing Address - Country:US
Mailing Address - Phone:610-392-4339
Mailing Address - Fax:610-865-1289
Practice Address - Street 1:3376 LINDEN STREET
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-1928
Practice Address - Country:US
Practice Address - Phone:610-392-4339
Practice Address - Fax:610-865-1289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020829225100000X
PAOC003351L225X00000X
PAOC005257L225X00000X
PAAT000174L231H00000X
PASL006411L235Z00000X
PASL006090L235Z00000X
PASL011062235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty