Individual
DONNA FASSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2010 ADAMS AVE, SCRANTON, PA 18509-1599
(570) 963-1278
(570) 963-1292
Mailing address
2010 ADAMS AVE, SCRANTON, PA 18509-1599
(570) 963-1278
(570) 963-1292
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011656
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028724350001
—
PA
Enumeration date
10/10/2013
Last updated
02/25/2014
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