Individual
JENA L CREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3075 W RIDGE PIKE, EAGLEVILLE, PA 19403-1534
(610) 265-4700
Mailing address
338 FAITH DR, BLANDON, PA 19510-9603
(610) 926-1871
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009854
PA
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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