Most Relevant Information
Provider Data
| NPI Number: | 1003352691 |
| Provider Name: | MALLORY JORDAN DANCE AUD |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: | AT006476 |
Most Important Dates
| Enumeration Date: | 01/06/2017 |
| Last Updated: | 11/17/2021 |
Provider Practice Location
4815 LIBERTY AVE STE 443
PITTSBURGH
PA
152242156
Practice Location Phone/Fax
| Phone: | 4126212656 |
| Fax: |
Provider Mailing Location
4815 LIBERTY AVE STE 443
PITTSBURGH
PA
152242156
Provider Mailing Phone/Fax
| Phone: | 4126212656 |
| Fax: |