Individual
LENISSA M ENCARNACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 W OAK ST, HAZLETON, PA 18201-5838
(570) 599-9047
Mailing address
225 W OAK ST, HAZLETON, PA 18201-5838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL019393
PA
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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