Individual
MS. COLLEEN MOYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 WYOMING AVE, SCRANTON, PA 18503-1227
(570) 587-5892
Mailing address
211 BARRETT ST, CLARKS SUMMIT, PA 18411-1821
(570) 862-5670
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007120
PA
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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