Individual
MRS. BRIANNE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 WOOD ST, OLYPHANT, PA 18447-2315
(570) 656-9714
Mailing address
102 WOOD ST, OLYPHANT, PA 18447-2315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008093
PA
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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