Individual
MR. GREGGORY LEWIS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Contact information
Practice address
64 REHAB LANE, DANVILLE, PA 17821
(570) 271-6110
Mailing address
203 SUNNY LN, DANVILLE, PA 17821-9464
(417) 850-4141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2013005278
MO
235Z00000X
Speech-Language Pathologist
Primary
SL011842
PA
Other
Enumeration date
02/22/2013
Last updated
12/20/2018
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