Individual
CARLIE MAE MOLITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
4065 PUNKIN RIDGE RD, LA JOSE, PA 15753-7330
(814) 553-9808
Mailing address
4065 PUNKIN RIDGE RD, LA JOSE, PA 15753-7330
(814) 553-9808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL00129
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8145539808
PHONE NUMBER
—
Enumeration date
06/10/2021
Last updated
06/10/2021
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