| NPI | 1124419577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE PRISLUPSKI Owner 570-383-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: PA AT000012L) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: PA AT000012L) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |