Individual
MRS. AMY DECRISTOFER DEARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
600 EDEN ROAD, BUILDING I, LANCASTER, PA 17601-4205
(717) 299-4829
(717) 295-3453
Mailing address
80 PEACH LN, LANCASTER, PA 17601-3254
(717) 392-3918
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008479
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015960980001
17
PA
Enumeration date
03/08/2007
Last updated
07/08/2007
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