Individual
JESSICA BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3349 WILMINGTON RD, NEW CASTLE, PA 16105-1038
(724) 598-3432
Mailing address
625 WALNUT ST, MCKEESPORT, PA 15132-2806
(412) 673-6660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
113375
TX
235Z00000X
Speech-Language Pathologist
Primary
SL015642
PA
Other
Enumeration date
08/21/2018
Last updated
02/25/2022
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