Individual
JENNIFER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
3431 VAUX ST, PHILADELPHIA, PA 19129-1436
(201) 519-1815
Mailing address
3431 VAUX ST, PHILADELPHIA, PA 19129-1436
(201) 519-1815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007035
PA
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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