Individual
ANN FANTAUZZI MILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
1144 SMITH GAP RD, BATH, PA 18014-9776
(610) 597-7763
Mailing address
1144 SMITH GAP RD, BATH, PA 18014-9776
(610) 597-7763
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL000819L
PA
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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