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Organization

CENTER 4 SPEECH

Active
Other names
Midwestern Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN K. MYERS CCC-MDLP (OWNER)
(724) 687-0597
Entity
Organization

Contact information

Practice address
7011 CRIDER RD. SUITE 102, MARS, PA 16046
(724) 687-0597
(724) 918-9909
Mailing address
7011 CRIDER RD. SUITE 102, MARS, PA 16046
(724) 687-0597
(724) 918-9909

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SL007350
PA
235Z00000X
Speech-Language Pathologist
Primary
SL007420
PA

Other

Enumeration date
07/19/2006
Last updated
08/30/2012
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