Basic Information
| Provider Information | |||||||||
| NPI: | 1538228986 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALLEN | ||||||||
| FirstName: | MARY ANN | ||||||||
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| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 237 ALUMINUM CITY TER | ||||||||
| Address2: | |||||||||
| City: | NEW KENSINGTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150685079 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7243391422 | ||||||||
| FaxNumber: | 7243397369 | ||||||||
| Practice Location | |||||||||
| Address1: | 2300 FREEPORT RD | ||||||||
| Address2: | SUITE 25 FELDARELLI SQUARE | ||||||||
| City: | NEW KENSINGTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150684669 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7243396631 | ||||||||
| FaxNumber: | 7243397369 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2006 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231HA2400X | AT001024L | PA | Y | Speech, Language and Hearing Service Providers | Audiologist | Assistive Technology Practitioner |
No ID Information.