Individual
JAMIE YETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
785 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(814) 834-2618
Mailing address
5289 BOONE MOUNTAIN RD, KERSEY, PA 15846-2119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013218
PA
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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