Healthcare Provider Details

I. General information

NPI: 1093555864
Provider Name (Legal Business Name): CELIA CUTCHALL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CELIA DANIELLE ESCABI

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2185 OREGON PIKE
LANCASTER PA
17601-4604
US

IV. Provider business mailing address

2185 OREGON PIKE
LANCASTER PA
17601-4604
US

V. Phone/Fax

Practice location:
  • Phone: 717-394-4342
  • Fax: 717-394-4530
Mailing address:
  • Phone: 717-394-4342
  • Fax: 717-394-4530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT007068
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: