Individual
JACLYN BEWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
580 RITCHIE HWY, SUITE I, SEVERNA PARK, MD 21146-3924
(410) 647-7795
(410) 315-8823
Mailing address
3 W OLIVE ST, STE 106, SCRANTON, PA 18508-2573
(410) 647-7795
(410) 315-8823
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006453
PA
Other
Enumeration date
06/16/2015
Last updated
06/27/2016
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