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JENIFER L CORBETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
224 S MAIN ST, SUITE 210, SENECA, PA 16346
(814) 677-1390
(814) 677-1393
Mailing address
5438 US RT 322, FRANKLIN, PA 16323
(814) 374-4960

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL006067L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018718150002
PA
01
C01823735
BLUE SHIELD
PA
Enumeration date
08/11/2006
Last updated
07/08/2007
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