Provider Demographics
NPI:1275752305
Name:DEAF AND HARD OF HEARING SERVICES OF LANCASTER COUNTY
Entity Type:Organization
Organization Name:DEAF AND HARD OF HEARING SERVICES OF LANCASTER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:BARRY
Authorized Official - Last Name:WITMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-397-4741
Mailing Address - Street 1:1810 OREGON PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6470
Mailing Address - Country:US
Mailing Address - Phone:717-397-4741
Mailing Address - Fax:717-291-1830
Practice Address - Street 1:1810 OREGON PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6470
Practice Address - Country:US
Practice Address - Phone:717-397-4741
Practice Address - Fax:717-291-1830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA846104OtherMEDICARE PROVIDER NUMBER