Individual
COREEN MARIE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
45 N SCOTT ST, CARBONDALE, PA 18407-1833
(570) 282-1099
Mailing address
234 CONSTITUTION AVE, JESSUP, PA 18434-1219
(570) 487-1359
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007791
PA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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