Doctor Name: | MRS. JENNIFER BRUNO SMITH |
NPI Number: | 1770735102 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S CCC-SLP/L |
License Number: | SL008843 |
Business Practice Address: | 101 Leader Dr Williamsport, PA - 177011942 |
Business Phone Number: | 5703233758 |
Business Fax Number: | |
Mailing Address: | 300 Logan Blvd, ALTOONA |
State: | PA |
Postal Code: | 166023119 |
Phone Number: | 8149312170 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2008 |
NPI Last Update Date: | 10/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL008843 |
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 |