Individual
MRS. ANN MECKLEY PANCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
950 FRONT ST, HERSHEY, PA 17033-9775
(717) 979-1815
Mailing address
950 FRONT ST, HERSHEY, PA 17033-9775
(717) 979-1815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL004294L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100003678 0005
PROMISE ID/SERVICE LOCAT
PA
Enumeration date
08/25/2006
Last updated
07/08/2007
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