# MINTZ SPEECH PATHOLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Philly Speech Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396433652
- **Authorized official:** HALLIE E MINTZ MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (908) 917-0472

## Contact information

- **Practice address:** 856 N 25TH ST, PHILADELPHIA, PA 19130-1834
- **Practice address phone:** (908) 917-0472
- **Mailing address:** 856 N 25TH ST, PHILADELPHIA, PA 19130-1834
- **Mailing address phone:** (908) 917-0472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2023
- **Last updated:** 04/25/2023