| NPI | 1558891333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER REBECCA MATTIKO Speech Language Pathologist 717-903-9567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL006062L) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |