Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | PA |
NPI | 1013562776 |
---|---|
Provider Name | Catharine Scully |
First Address | Honesdale, PA 18431-1445 |
Second Address | Honesdale, PA 18431-2023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2019 |
Last Update Date | 08/08/2019 |