Individual
JACQUELYN MARIE GERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
15 W WILLOW ST, SMETHPORT, PA 16749-1523
(814) 887-5716
Mailing address
325 E ARCH ST, SAINT MARYS, PA 15857-1705
(814) 335-2554
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010050
PA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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