Individual
MRS. LINDA M FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCCA
Contact information
Practice address
1523 N CHURCH ST, HAZLETON, PA 18202
(570) 454-8404
(570) 454-8404
Mailing address
1523 N CHURCH ST, HAZLETON, PA 18202
(570) 454-8404
(570) 454-8404
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT000056L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014129200005
—
PA
01
—
207475
BLUE SHIELD
PA
Enumeration date
07/19/2005
Last updated
08/09/2007
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