Individual
MISS JESSICA LYNN BOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
846 E WICONISCO AVE, TOWER CITY, PA 17980-1609
(717) 523-1257
Mailing address
354 ARCHERY CLUB RD, NEW RINGGOLD, PA 17960-8520
(570) 640-0227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008787
PA
Other
Enumeration date
11/01/2010
Last updated
08/03/2015
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