Charlotte Ecklund

NPI 1083045868 · on the registry since 2013

Practice

Address: 445 Schoolhouse Rd
Appalachia Iu8
Johnstown, PA 15904
Phone: (814) 262-7392
Organisation at this address: Alternative Community Resource Program, Inc.
Greater Johnstown Area Vocational-Technical School
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 231H00000X
231H00000X
Also registered as: 235Z00000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-12-04

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