Search › Pennsylvania › 171100000X
Conrad Headley, MSC, LAC
NPI 1487497418 · on the registry since 2024 · sole proprietor
Practice
- Address
- 12417 Mountain Laurel Dr.
East Stroudsburg, PA 18302 - Phone
- (570) 421-2260
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-17
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