Individual
CHRISTI LYNN MONCAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
400 E 2ND ST, CENTENNIAL HALL, BLOOMSBURG, PA 17815-1301
(570) 389-5380
(570) 389-5022
Mailing address
400 E 2ND ST, CENTENNIAL HALL, BLOOMSBURG, PA 17815-1301
(570) 389-5380
(570) 389-5022
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT000965L
PA
231HA2400X
Assistive Technology Practitioner Audiologist
AT000965L
PA
231HA2500X
Assistive Technology Supplier Audiologist
AT000965L
PA
237600000X
Audiologist-Hearing Aid Fitter
AT000965L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018694600001
—
PA
Enumeration date
10/23/2006
Last updated
10/17/2007
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