Individual
JOAN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
868 CUSTER LN, TARENTUM, PA 15084-3616
(412) 999-9498
Mailing address
868 CUSTER LN, TARENTUM, PA 15084-3616
(412) 999-9498
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1889
HI
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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