NPI 1639360480

Mindy Staller, MACCCA

Practitioner Audiologist Jenkintown, PA

Practice location

Address: 500 Old York Rd., Jenkintown, PA 19046
Phone: (215) 886-2268
Fax: (215) 886-6016
Mailing address: 2510 E Sunset Rd Unit 5-260, Las Vegas, NV 89120-3511

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence AT005814 (PA)

Other Audiologist providers in Pennsylvania →

Registry record

NPI: 1639360480
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2007
Record last updated: 3 Apr 2014

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.