Individual
JESSICA L SHAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
353 MARKLE DR, HARRISBURG, PA 17111-2762
(717) 480-4698
(717) 480-4693
Mailing address
353 MARKLE DR, HARRISBURG, PA 17111-2762
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010789
PA
Other
Enumeration date
07/27/2009
Last updated
08/06/2012
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