Individual
HOLLY GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MOUNT ALLEN DR, MECHANICSBURG, PA 17055-6171
(717) 697-4666
Mailing address
719 JONATHAN CT, MECHANICSBURG, PA 17055-8800
(717) 448-1306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012423
PA
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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