Organization
ECD CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE MANN (AGENCY SUPERVISOR/OWNER)
(570) 656-4047
Entity
Organization
Contact information
Practice address
1002 CUB CT, EFFORT, PA 18330-8035
(570) 656-4047
(888) 204-7845
Mailing address
PO BOX 961, EFFORT, PA 18330-0961
(570) 656-4047
(888) 204-7845
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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