Organization
MISERICORDIA UNIVERSITY SPEECH-LANGUAGE AND HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN RISBOSKIN (VISE PRESIDENT FINANCE AND ADMINIST)
(570) 674-6324
Entity
Organization
Contact information
Practice address
301 LAKE ST, DALLAS, PA 18612-1008
(570) 674-8050
(570) 255-3375
Mailing address
301 LAKE ST, DALLAS, PA 18612-1008
(570) 674-8050
(570) 255-3375
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SL003615L
PA
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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