Individual
JENNA LYNN STEINRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1715 4TH ST, BETHLEHEM, PA 18020-6516
(610) 462-5946
Mailing address
1715 4TH ST, BETHLEHEM, PA 18020-6516
(610) 462-5946
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011062
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023096950001
—
PA
Enumeration date
09/27/2012
Last updated
05/28/2014
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