Individual
JENNIFER HESKETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2267 AUTUMNWOOD DR, STATE COLLEGE, PA 16801-2409
(814) 880-3278
Mailing address
2267 AUTUMNWOOD DR, STATE COLLEGE, PA 16801-2409
(814) 880-3278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL003535L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02102201
CAPTIAL BLUE CROSS
PA
01
—
126628
HEALTH AMERICA
PA
01
—
HE760481
BLUE SHIELD
PA
Enumeration date
09/16/2006
Last updated
03/11/2015
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