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Individual

MRS. JANICE HERCHELROATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
409 S 2ND ST, SUITE 3F, HARRISBURG, PA 17104-1612
(717) 230-3459
Mailing address
2501 N 3RD ST, HARRISBURG, PA 17110-1904

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL005365L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SL005365L
LICENSE
PA
Enumeration date
05/15/2006
Last updated
12/29/2010
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