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Lycoming County Crippled Children'S

Speech-Language Pathologist in Williamsport, PA · enumerated 2007 · authorized official Anthony Perrotta, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104970227

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Registry record

Entity type Organization (Type 2)
Legal business name Lycoming County Crippled Children'S
Other name <Unavail>
Practice address 625 W Edwin St, Williamsport, PA, 17701
Phone (570) 326-0565
Fax (570) 329-2522
Enumeration date Jan 23, 2007
Last updated in NPPES Sep 28, 2009

Taxonomy & classification

103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers · License PS005489L (PA) Secondary
103T00000X Psychologist Behavioral Health & Social Service Providers · License PS005489L (PA) Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License PS005489L (PA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT000490E (PA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT002737L (PA) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT016332L (PA) Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License OC006418L (PA) Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License SL000825L (PA) Primary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License SL002712L (PA) Secondary

Authorized official

Name Anthony Perrotta
Title Executive Director
Phone (570) 326-0565

Other identifiers

Identifier Type State Issuer
100004601 Medicaid PA -
43093 Other PA GEISINGER HEALTH PLAN
000999239 Other PA HIGHMARK BLUE SHIELD
1000046010005 Medicaid PA -

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A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-09-28. Verify at npiregistry.cms.hhs.gov.
Where is Lycoming County Crippled Children'S located?
The practice location on file with NPPES is in Williamsport, PA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-09-28.