Provider Demographics
NPI:1851063655
Name:TORREY, MISTY
Entity Type:Individual
Prefix:MRS
First Name:MISTY
Middle Name:
Last Name:TORREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1934 ANDREW SETTLEMENT RD
Mailing Address - Street 2:
Mailing Address - City:GENESEE
Mailing Address - State:PA
Mailing Address - Zip Code:16923-8865
Mailing Address - Country:US
Mailing Address - Phone:814-260-9065
Mailing Address - Fax:
Practice Address - Street 1:1934 ANDREW SETTLEMENT RD
Practice Address - Street 2:
Practice Address - City:GENESEE
Practice Address - State:PA
Practice Address - Zip Code:16923-8865
Practice Address - Country:US
Practice Address - Phone:814-260-9065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL013974235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist