Individual
BEN IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 MOISEY DR, HAZLE TOWNSHIP, PA 18202-9297
(570) 501-6754
(570) 501-6769
Mailing address
129 LAURIE LN, HUGHESTOWN, PA 18640-2815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007829
PA
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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