Individual
MRS. ELIZABETH FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
147 OLD NEWPORT ST, NANTICOKE, PA 18634-1327
(570) 740-5391
Mailing address
19 FARMHOUSE RD, MOUNTAIN TOP, PA 18707-1701
(570) 466-2466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008512
PA
Other
Enumeration date
09/26/2007
Last updated
03/17/2018
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