| NPI | 1558446468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M ANGELO Director Of Clinical Services 570-389-5380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 231HA2400X Audiologist Assistive Technology Practitioner (Licence: PA D00617) |
| 231HA2500X Audiologist Assistive Technology Supplier (Licence: PA D00617) | |
| 235Z00000X Speech-Language Pathologist | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: PA D00617) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-10-17 |