Individual
SHAWNA GOTTSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 3RD ST, WHARTON, NJ 07885-2156
(570) 764-4919
Mailing address
44 3RD ST, WHARTON, NJ 07885-2156
(570) 764-4919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00578700
NJ
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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