NPI 1063303113

Michaela Blackwell, AUD

Practitioner Audiologist Wilkes Barre, PA

Practice location

Address: 950 E Mountain Blvd, Wilkes Barre, PA 18711-0028
Phone: (570) 808-7923

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence AT007058 (PA)

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Registry record

NPI: 1063303113
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2025
Record last updated: 20 Feb 2026

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.