| NPI | 1518040179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES F MATTA Dean 570-389-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: PA D00617) |
| Additional Taxonomies | 231HA2500X Audiologist Assistive Technology Supplier (Licence: PA D0061700) |
| 235Z00000X Speech-Language Pathologist | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: PA D0061700) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2010-02-23 |