Provider Demographics
NPI:1104553601
Name:VILAND, CLAUDIA I
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:I
Last Name:VILAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 HOLLOW RD UNIT 16
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18302-8559
Mailing Address - Country:US
Mailing Address - Phone:570-350-4713
Mailing Address - Fax:
Practice Address - Street 1:346 HOLLOW RD UNIT 16
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18302-8559
Practice Address - Country:US
Practice Address - Phone:570-350-4713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor