Individual
MS. KERRY ANNE LICHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
4880 N SHERMAN STREET EXT, MOUNT WOLF, PA 17347-9637
(717) 266-9294
Mailing address
334 CRESTON RD, YORK, PA 17403-3904
(717) 779-8208
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
06243
MD
235Z00000X
Speech-Language Pathologist
Primary
SL010965
PA
235Z00000X
Speech-Language Pathologist
SLP000293
DC
Other
Enumeration date
06/13/2012
Last updated
01/11/2013
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