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NPI #1619531399 in Harrisburg, Pennsylvania

Provider Information

NPI Number
1619531399
Entity Type
Organization
Organization Name
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Primary Specialty
Speech-Language Pathologist
Enumeration Date
Apr 27, 2019
Last Updated
Feb 24, 2020

Practice Location

Address
2204 BRADLEY DR
ZIP Code
17110-9525
Phone
(717) 649-7425

Authorized Official

Name
KYNISHA L CLOUD, M.S. CCC-SLP
Title
SPEECH LANGUAGE PATHOLOGIST
Phone
(717) 649-7425

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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