Search › Pennsylvania › 163W00000X
Mary Elaine Southard
NPI 1487058319 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2222 Webster Ave.
Scranton, PA 18505 - Phone
- (570) 604-2994
- Fax
- (570) 647-7604
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania