Provider Demographics
NPI:1205258977
Name:ENGLER, MARK PATRICK
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:PATRICK
Last Name:ENGLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W VALLEY RD UNIT 1285
Mailing Address - Street 2:
Mailing Address - City:SOUTHEASTERN
Mailing Address - State:PA
Mailing Address - Zip Code:19399-5043
Mailing Address - Country:US
Mailing Address - Phone:610-513-2617
Mailing Address - Fax:
Practice Address - Street 1:1605 W MAIN ST
Practice Address - Street 2:
Practice Address - City:EAGLEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19403-3229
Practice Address - Country:US
Practice Address - Phone:610-539-8550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist