Provider Demographics
NPI:1053344267
Name:LUNDY, MARCIA COHN (MSPA)
Entity type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:COHN
Last Name:LUNDY
Suffix:
Gender:F
Credentials:MSPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2286 AUTUMN LANE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-2218
Mailing Address - Country:US
Mailing Address - Phone:610-828-8134
Mailing Address - Fax:610-941-1221
Practice Address - Street 1:2286 AUTUMN LANE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444-2218
Practice Address - Country:US
Practice Address - Phone:610-828-8134
Practice Address - Fax:610-941-1221
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL001449L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist