Prostat, Inc.
NPI #1780018424 in Reading, Pennsylvania
Provider Information
- NPI Number
- 1780018424
- Entity Type
- Organization
- Organization Name
- Prostat, Inc.
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Aug 29, 2013
- Last Updated
- Aug 27, 2014
Practice Location
- Address
- 1901 BERNVILLE RD
- City
- Reading
- State
- Pennsylvania
- ZIP Code
- 19601-1113
- Phone
- (610) 736-9000
Authorized Official
- Name
- MARISSA MARIE SHELLY, M.S. CCC-SLP
- Title
- SPEECH LANGUAGE PATHOLOGIST
- Phone
- (610) 736-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
| Private Vehicle |
| Early Intervention Provider Agency |
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