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Search › Pennsylvania › 235Z00000X

Stephanie Jack, MS CCC-SLP/L

NPI 1609419233 · on the registry since 2019 · sole proprietor

Practice

Address
20397 Route 19 Ste 30
Cranberry Twp, PA 16066
Phone
(855) 887-7332
Organisation at this address
Vp Counseling
Agustin Pediatrics
Jamie Mixter Counseling
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania