Individual
ALISE RUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-A
Contact information
Practice address
204 MYRTLE AVE, HAVERTOWN, PA 19083-5708
(610) 446-1083
Mailing address
204 MYRTLE AVE, HAVERTOWN, PA 19083-5708
(610) 446-1083
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT005855
PA
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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