Individual
JILLIAN IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 N WASHINGTON AVE, SCRANTON, PA 18503-1555
(570) 947-8103
Mailing address
129 LAURIE LN, HUGHESTOWN, PA 18640-2815
(570) 417-5394
(570) 417-5394
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007965
PA
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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