Individual
CATHERINE OLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 3 BOX 178B, HARVEYS LAKE, PA 18618-9404
(570) 639-1369
Mailing address
RR 3 BOX 178B, HARVEYS LAKE, PA 18618-9404
(570) 639-1369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL006358L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018817690004
MEDICAL ASSISTANCE
PA
Enumeration date
02/21/2007
Last updated
07/08/2007
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