Individual
MARSHA MARIE DIEFFENDERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 BUFFALO RD, LEWISBURG, PA 17837-1206
(570) 523-6787
(570) 523-6787
Mailing address
276 GRAYLYN CREST DR, NEW COLUMBIA, PA 17856-9418
(570) 523-6787
(570) 523-6787
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006347
PA
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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