Doctor Name: | JESSICA HARTZ |
NPI Number: | 1639508674 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL009869 |
Business Practice Address: | 401-403 Hazle Twp Blvd Hazle Township, PA - 182029604 |
Business Phone Number: | 5704558888 |
Business Fax Number: | 5704599252 |
Mailing Address: | 401-403 Hazle Twp Blvd, HAZLE TOWNSHIP |
State: | PA |
Postal Code: | 18202 |
Phone Number: | 5704558888 |
Fax Number: | 5704599252 |
NPI Enumeration Date: | 11/08/2013 |
NPI Last Update Date: | 11/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL009869 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |