Provider Demographics
NPI:1871807859
Name:HARTEY, RENEE (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:
Last Name:HARTEY
Suffix:
Gender:F
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 1:302 ORELAND MILL RD
Mailing Address - Street 2:
Mailing Address - City:ORELAND
Mailing Address - State:PA
Mailing Address - Zip Code:19075-1605
Mailing Address - Country:US
Mailing Address - Phone:215-850-7890
Mailing Address - Fax:
Practice Address - Street 1:302 ORELAND MILL RD
Practice Address - Street 2:
Practice Address - City:ORELAND
Practice Address - State:PA
Practice Address - Zip Code:19075-1605
Practice Address - Country:US
Practice Address - Phone:215-850-7890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008442235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist