| |
420 Dubois Street, Dubois, PA 15801-9007 | |
(814) 375-4585 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 420 Dubois Street, Dubois, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356513048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SL004346L (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
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321 Treasure Lake, Dubois, PA 15801-9007 Ph: (814) 375-4585 | 420 Dubois Street, Dubois, PA 15801-9007 Ph: (814) 375-4585 |