Individual
COURTNEY DESCHEEMAEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1462 ROUTE 116, SPRING GROVE, PA 17362-8535
(717) 451-3651
Mailing address
1462 ROUTE 116, SPRING GROVE, PA 17362-8535
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011498
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-3983336
JUMPSTART THERAPIES
PA
Enumeration date
11/02/2016
Last updated
11/02/2016
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