Individual
KATHLEEN D. VIVALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., FAAA
Contact information
Practice address
985 BERKSHIRE BLVD, STE 101, WYOMISSING, PA 19610-1268
(610) 374-5599
(610) 288-8075
Mailing address
985 BERKSHIRE BLVD, STE 101, WYOMISSING, PA 19610-1268
(610) 374-5599
(610) 288-8075
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT000729L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000241003
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/18/2005
Last updated
10/13/2008
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