Individual
COLLEEN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
440 N RIVER ST, WILKES BARRE, PA 18702-2631
(570) 831-8622
(570) 970-0318
Mailing address
1120 N IRVING AVE, DUNMORE, PA 18510-1348
(570) 344-8147
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008499
PA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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