Individual
MRS. LISA JEAN KLOCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
118 BARNHART ST, JOHNSTOWN, PA 15905-4702
(814) 288-1310
Mailing address
118 BARNHART ST, JOHNSTOWN, PA 15905-4702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL005821L
PA
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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