Individual
JENNIFER LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 COMPUTER RD STE H44, WILLOW GROVE, PA 19090-1742
(267) 818-4200
Mailing address
2300 COMPUTER RD STE H44, WILLOW GROVE, PA 19090-1742
(267) 818-4200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSL000708
PA
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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