Individual
JOLENE C UMHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W 13TH ST, TYRONE, PA 16686-1916
(814) 684-7632
Mailing address
800 W 13TH ST, TYRONE, PA 16686-1916
(814) 684-7632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL004937L
PA
Other
Enumeration date
07/21/2018
Last updated
07/21/2018
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