Individual
TASHA RECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
401 N 17TH ST, SUITE 210, ALLENTOWN, PA 18104-5034
(610) 969-4950
(610) 969-4960
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006295
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT006295
STATE LICENSE NUMBER
PA
Enumeration date
05/21/2013
Last updated
11/10/2015
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