Individual
MRS. JULIANNA CORNACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
345 COPLEY DR, LANCASTER, PA 17601-2975
(813) 956-2027
Mailing address
345 COPLEY DR, LANCASTER, PA 17601-2975
(813) 956-2027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA3174
FL
235Z00000X
Speech-Language Pathologist
Primary
SL002447L
PA
Other
Enumeration date
08/22/2010
Last updated
08/22/2010
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