Individual
JENNA BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 COMMUNITY WAY, LANCASTER, PA 17603-2301
(717) 393-0425
Mailing address
331 COBBLESTONE LN, LANCASTER, PA 17601-3348
(717) 557-1339
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013790
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SL013790
STATE LICENSE
PA
Enumeration date
09/04/2018
Last updated
08/12/2021
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