Individual
DR. BRUCE WISENBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
2300 ADAMS AVE, MARYWOOD UNIVERSITY, SCRANTON, PA 18509-1514
(570) 348-6299
(570) 961-4708
Mailing address
1185 AUDUBON DR, SOUTH ABINGTON TOWNSHIP, PA 18411-2852
(570) 585-9807
(570) 961-4708
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009766
PA
Other
Enumeration date
02/05/2007
Last updated
09/13/2010
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