Provider Demographics
NPI:1962692855
Name:SUSQUEHANNA VALLEY HEARING PROFESSIONALS,LLC
Entity type:Organization
Organization Name:SUSQUEHANNA VALLEY HEARING PROFESSIONALS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:MUCHLER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:570-524-3277
Mailing Address - Street 1:2824 OLD TURNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-7803
Mailing Address - Country:US
Mailing Address - Phone:570-524-3277
Mailing Address - Fax:570-524-3270
Practice Address - Street 1:2824 OLD TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-7803
Practice Address - Country:US
Practice Address - Phone:570-524-3277
Practice Address - Fax:570-524-3270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1104968544OtherNPI