Individual
CARLA HERTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 BILLERBECK ST, NEW OXFORD, PA 17350-9375
(717) 718-5800
Mailing address
1350 RUXTON RD, YORK, PA 17403-3040
(717) 845-4579
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL001327L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019320170003
—
PA
Enumeration date
07/10/2008
Last updated
07/10/2008
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