Provider Demographics
NPI:1215521356
Name:NDINYAH, ETOR (HIS)
Entity type:Individual
Prefix:MISS
First Name:ETOR
Middle Name:
Last Name:NDINYAH
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2589 WASHINGTON RD STE 422
Mailing Address - Street 2:
Mailing Address - City:UPPER ST CLAIR
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2566
Mailing Address - Country:US
Mailing Address - Phone:412-455-5393
Mailing Address - Fax:
Practice Address - Street 1:2589 WASHINGTON RD STE 422
Practice Address - Street 2:
Practice Address - City:UPPER ST CLAIR
Practice Address - State:PA
Practice Address - Zip Code:15241-2566
Practice Address - Country:US
Practice Address - Phone:412-455-5393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAFO3819237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist