Bruce Wisenburn, CCC-SLP

NPI 1154460426 · on the registry since 2007 · sole proprietor

Practice

Address: 2300 Adams Ave
Marywood University
Scranton, PA 18509
Phone: (570) 348-6299
Fax: (570) 961-4708
Organisation at this address: Geisinger Clinic
Marywood University
Marywood University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 33

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-09-13

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