Doctor Name: | CINDA CASE DIRLAM |
NPI Number: | 1518036409 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T.A. |
License Number: | TE 000211L |
Business Practice Address: | Hc 6 Box 6046 Hawley, PA - 184289100 |
Business Phone Number: | 5702265680 |
Business Fax Number: | 5702265682 |
Mailing Address: | 24 Dirlam Blvd, HONESDALE |
State: | PA |
Postal Code: | 184317510 |
Phone Number: | 5702530756 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | TE 000211L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |