Basic Information
| Provider Information | |||||||||
| NPI: | 1639528326 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MUHS | ||||||||
| FirstName: | ARIEL | ||||||||
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| Credential: | M.S. CF-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2731 LYCOMING MALL DR | ||||||||
| Address2: | APT. 2 | ||||||||
| City: | MUNCY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 177568121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5704474458 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8703 HIGHWAY 17 BYP S | ||||||||
| Address2: | SUITE I | ||||||||
| City: | MYRTLE BEACH | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295757701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8434571053 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2016 | ||||||||
| LastUpdateDate: | 06/03/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.