Audrey Y Yagalla
Early Intervention Provider Agency in West Wyoming, PA. Individual provider (NPI-1).
NPI number1982394896
StatusActive
Last updated in NPPESMay 12, 2023
Details
- NPI
- 1982394896
- Entity type
- Individual (NPI-1)
- Name
- Audrey Y Yagalla
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2023
- Certification date
- May 12, 2023
- Last updated
- May 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
1565 Shoemaker AveWest Wyoming, PA 18644-1030
Phone 570-831-9533
Mailing address
1565 Shoemaker AveWest Wyoming, PA 18644-1030
Phone 570-831-9533
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