Individual
JENNIFER SHANDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 5TH ST, WYOMING, PA 18644-2126
(570) 704-9284
Mailing address
24 5TH ST, WYOMING, PA 18644-2126
(570) 704-9284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011420
PA
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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