Individual
KEISHA SCOVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
101 CREEKVIEW DR, PARADISE, PA 17562-9440
(717) 606-9699
Mailing address
101 CREEKVIEW DR, PARADISE, PA 17562-9440
(717) 606-9699
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
45179481
PA
235Z00000X
Speech-Language Pathologist
Primary
SL006485L
PA
Other
Enumeration date
04/24/2007
Last updated
03/17/2018
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