Mock, Stephen E
Mock, Stephen E is an sole proprietor health care provider with primary practice located at 401 Adams Ave Suite 305, Scranton PA 18510-2025. He recently has 6 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Other Service Providers / Specialist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Assistive Technology Supplier, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Suppliers / Hearing Aid Equipment. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Mock, Stephen E can be contacted via phone (570) 344-4327.Contact Information
Primary practice address
401 Adams Ave Suite 305
Scranton PA 18510-2025
Phone: (570) 344-4327
Fax: (570) 344-7822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AT000199L | Pennsylvania |
| Other Service Providers / Specialist | 174400000X | AT000199L | Pennsylvania |
| Speech, Language and Hearing Service Providers / Assistive Technology Practitioner | 231HA2400X | AT000199L | Pennsylvania |
| Speech, Language and Hearing Service Providers / Assistive Technology Supplier | 231HA2500X | AT000199L | Pennsylvania |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | AT000199L | Pennsylvania |
| Suppliers / Hearing Aid Equipment | 332S00000X | AT000199L | Pennsylvania |
Profile Details
| NPI number | 1447340377 |
|---|---|
| LBN Legal business name | Mock, Stephen E |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jan 15th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447340377 | NPPES |
| Pennsylvania | MEDICAID | 0012749680001 | |
| Pennsylvania | Other | 282868 | |
| Pennsylvania | Other | AT000199L |
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