NPI 1407467673

Maria Revak, AUDCCCA

Practitioner Audiologist-Hearing Aid Fitter Forty Fort, PA

Practice location

Address: 190 Welles St, Forty Fort, PA 18704-4968
Phone: (570) 283-0524
Fax: (570) 283-0302

Registered specialties

Audiologist-Hearing Aid Fitter Primary

Speech, Language and Hearing Service Providers Taxonomy 237600000X Licence AT006089 (PA)

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Registry record

NPI: 1407467673
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2020
Record last updated: 12 Aug 2020

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.