Individual
MRS. JAIME LYNN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1012 RIVERVIEW ST, WHITEHALL, PA 18052-5531
(610) 217-2917
Mailing address
1012 RIVERVIEW ST, WHITEHALL, PA 18052-5531
(610) 217-2917
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12149015
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102565828
—
PA
Enumeration date
08/05/2011
Last updated
08/05/2011
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