Individual
MRS. ANDREA LYNN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
918 MAIN STREET, LAPORTE, PA 18626
(570) 946-7700
Mailing address
317 SCOTT RD, SOUTH ABINGTON TOWNSHIP, PA 18411-9368
(570) 240-6755
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSL000073
PA
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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