Provider Demographics
NPI:1508017278
Name:JAMES, MARY-TERESA CHRISTINE (AUD)
Entity Type:Individual
Prefix:DR
First Name:MARY-TERESA
Middle Name:CHRISTINE
Last Name:JAMES
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2101 STATE HILL RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1993
Mailing Address - Country:US
Mailing Address - Phone:610-741-0302
Mailing Address - Fax:610-741-0303
Practice Address - Street 1:2101 STATE HILL RD
Practice Address - Street 2:SUITE 4
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1993
Practice Address - Country:US
Practice Address - Phone:610-741-0302
Practice Address - Fax:610-741-0303
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000628L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist