Individual
JENNIFER MCQUILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1 LONGSDORF WAY, CARLISLE, PA 17015-7623
(717) 240-6025
(717) 240-6042
Mailing address
10 EDGEWOOD DR, MECHANICSBURG, PA 17055-2771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL005895L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SL005895L
STATE LICENSE
PA
Enumeration date
05/18/2006
Last updated
07/25/2012
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