Gina R Shongo MA CCC-SLP

NPI 1366572026 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1366572026
Gender Female
Enumeration Date 03/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
767 FREDORIS ROAD
STONEBORO PA, 16153, US
Phone (724) 988-9972
Fax
Business Location
757 FREDORIS ROAD
STONEBORO PA, 16153, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Pennsylvania
License Number SL006195L
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According to our database, Gina R Shongo MA CCC-SLP NPI is 1366572026, taxonomy code is 235Z00000X and license number is SL006195L, license state is located at Pennsylvania. Gina R Shongo MA CCC-SLP physically located at 767 Fredoris Road, Stoneboro PA, 16153. NPI Number Gina R Shongo MA CCC-SLP has the Individual type.

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1366572026 NPI number is provided on an as is basis without warranty of any kind. 1366572026 is maintained by the National Plan & Provider Enumeration System. The contents of Gina R Shongo MA CCC-SLP are for informational purposes only.