NPI 1184992554

Pennsylvania State University

Organisation Point of Service University Park, PA

Practice location

Address: 110 Ford Bldg The Pennsylvania State University, University Park, PA 16802-3000
Phone: (814) 865-5414
Mailing address: 1051 Teaberry Ln D 206, State College, PA 16803-2986

Authorised official

Name: Nimisha Muttiah
Title: Speech Language Pathologist
Phone: (419) 575-8034

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence SL010567 (PA)

Other Point of Service providers in Pennsylvania →

Registry record

NPI: 1184992554
Entity type: Organization
NPI issued: 13 Dec 2011
Record last updated: 13 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.