Organization
EASTER SEALS CENTRAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BATEMAN (PRESIDENT/CEO)
(814) 689-1911
Entity
Organization
Contact information
Practice address
219 E MAIN ST, SUITE 201, MECHANICSBURG, PA 17055-6541
(717) 591-7027
Mailing address
501 VALLEY VIEW BLVD, ALTOONA, PA 16602-6410
(814) 944-5014
(814) 944-6500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002349
—
PA
Enumeration date
07/14/2008
Last updated
07/14/2008
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