Individual
MS. SAMANTHA WOLTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
87 SCHOOL ST, BRADFORD, PA 16701-1157
(412) 414-1986
Mailing address
87 SCHOOL ST, BRADFORD, PA 16701-1157
(412) 414-1986
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT00108L
PA
235500000X
Speech/Language/Hearing Specialist/Technologist
PDE 1673236
PA
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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