Mindy Staller M.A., CCC-A

NPI 1639360480 - Audiologist - 231H00000X

NPI Details
NPI 1639360480
Gender Female
Enumeration Date 08/07/2007
Last Updated 04/03/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
500 OLD YORK RD.
JENKINTOWN PA, 19046, US
Phone (215) 886-2268
Fax (215) 886-6016
Business Location
2510 E SUNSET RD
UNIT 5-260
LAS VEGAS NV, 89120-3511, US
Phone (702) 798-0113
Fax (866) 291-5242
Toxanomy
Taxonomy Code 231H00000X
License State Pennsylvania
License Number AT005814
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According to our database, Mindy Staller M.A., CCC-A NPI is 1639360480, taxonomy code is 231H00000X and license number is AT005814, license state is located at Pennsylvania. Mindy Staller M.A., CCC-A physically located at 500 Old York Rd., Jenkintown PA, 19046. NPI Number Mindy Staller M.A., CCC-A has the Individual type.

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1639360480 NPI number is provided on an as is basis without warranty of any kind. 1639360480 is maintained by the National Plan & Provider Enumeration System. The contents of Mindy Staller M.A., CCC-A are for informational purposes only.