Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mindy Staller, MA, CCC-A

Individual provider Audiologist · NPI 1639360480

Mindy Staller, MA, CCC-A is an Audiologist in Jenkintown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

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Practice location Address checks out

500 Old York Rd
Jenkintown, PA 19046
Phone: (215) 886-2268
Fax: (215) 886-6016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence AT005814 (PA)

Record details

NPI number1639360480
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-A
Sole proprietorNo
NPI enumeratedAugust 7, 2007
Last updated in NPPESApril 3, 2014
Mailing address2510 E Sunset Rd, Unit 5-260, Las Vegas, NV 89120-3511

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