Individual
CAROL MACOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 E STATION AVE, COOPERSBURG, PA 18036-2027
(484) 863-9220
(610) 769-0639
Mailing address
551 E STATION AVE, COOPERSBURG, PA 18036-2027
(610) 769-0639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL002051L
PA
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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