Organization
SPECTRUM THERAPEUTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PETER A FERRULLI MA CCC SLP (PRESIDENT)
(570) 265-3993
Entity
Organization
Contact information
Practice address
101 YORK AVE, TOWANDA, PA 18848-1923
(570) 265-3993
Mailing address
PO BOX 366, WYSOX, PA 18854-0366
(570) 265-3993
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SL005963L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019297730003
—
PA
Enumeration date
01/07/2008
Last updated
01/07/2008
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