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Organization
PEDIATRIC SPEECH, FEEDING, AND SWALLOWING CENTER, LLC
Active
Organization
PEDIATRIC SPEECH, FEEDING, AND SWALLOWING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MARIE PUSINS CSCD, CCC-SLP (SPEECH PATHOLOGIST/OWNER)
(724) 919-3528
Entity
Organization
Contact information
Practice address
725 S HARRISON ST, KITTANNING, PA 16201-2323
(724) 919-3528
Mailing address
725 S HARRISON ST, KITTANNING, PA 16201-2323
(724) 919-3528
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011121
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3192552
HIGHMARK BLUE SHIELD NUMBER
PA
Enumeration date
11/03/2015
Last updated
11/03/2015
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