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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447340377 NPPES
Pennsylvania MEDICAID 0012749680001
Pennsylvania Other 282868
Pennsylvania Other AT000199L

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