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NPI Code Detail

MEDICARE: JENNA CROWLEY

MEDICARE: JENNA CROWLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740794387
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA CROWLEY
Provider Business Mailing Address
First Line : 915 MONTGOMERY AVE STE 310
Second Line :
City : PENN VALLEY
State : PA
Zip : 19072-1553
Country : US
Telephone Number : 610-660-8200
Fax Number :
Provider Business Practice Location Address
First Line : 915 MONTGOMERY AVE STE 310
Second Line :
City : PENN VALLEY
State : PA
Zip : 19072-1553
Country : US
Telephone Number : 610-660-8200
Fax Number : 610-660-8208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2017
Last Update Date : 06/16/2018

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Directions to “ JENNA CROWLEY ” Practice Location

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