Individual
KATIE WETHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5865 ROUTE 154, FORKSVILLE, PA 18616-8912
(570) 924-3411
Mailing address
5865 ROUTE 154, FORKSVILLE, PA 18616-8912
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSL000271
PA
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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