Individual
JEANA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4702 E MAIN ST, BELLEVILLE, PA 17004-9251
(814) 506-8212
(814) 506-8213
Mailing address
6377 CLOVER CREEK RD, WILLIAMSBURG, PA 16693-7605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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