Individual
JAMIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 BUTZTOWN ROAD, BETHLEHEM, PA 18020
(484) 515-1602
Mailing address
185 BUTZTOWN ROAD, BETHLEHEM, PA 18020
(484) 515-1602
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013368
PA
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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