Individual
MS. JEAN YODER GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
300 W LEMON ST, LITITZ, PA 17543-2398
(717) 625-6188
Mailing address
353 KINDT CORNER RD, LEESPORT, PA 19533-8624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL000388L
PA
Other
Enumeration date
03/27/2007
Last updated
06/16/2022
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