Organization
PENNSYLVANIA STATE UNIVERSITY
Active
Organization
PENNSYLVANIA STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMISHA MUTTIAH (SPEECH LANGUAGE PATHOLOGIST)
(419) 575-8034
Entity
Organization
Contact information
Practice address
110 FORD BLDG, THE PENNSYLVANIA STATE UNIVERSITY, UNIVERSITY PARK, PA 16802-3000
(814) 865-5414
Mailing address
1051 TEABERRY LN, D 206, STATE COLLEGE, PA 16803-2986
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
SL010567
PA
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up