Individual
MRS. LITA CARMELLA VINCAVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2500 ADAMS AVE, SCRANTON, PA 18509-1515
(570) 342-7180
Mailing address
5 FIORE CT, DURYEA, PA 18642
(804) 912-0057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007522
VA
Other
Enumeration date
03/04/2015
Last updated
03/17/2018
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