Individual
MRS. JENNIFER BRUNO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP/L
Contact information
Practice address
101 LEADER DR, WILLIAMSPORT, PA 17701-1942
(570) 323-3758
Mailing address
300 LOGAN BLVD, ALTOONA, PA 16602-3119
(814) 931-2170
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008843
PA
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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