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Organization
OLD CITY SPEECH THERAPY LLC
Active
Organization
OLD CITY SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY O'CONNOR M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(267) 603-3435
Entity
Organization
Contact information
Practice address
3 N COLUMBUS BLVD APT MD312, PHILADELPHIA, PA 19106-1440
(315) 767-1523
Mailing address
3 N COLUMBUS BLVD APT MD312, PHILADELPHIA, PA 19106-1440
(315) 767-1523
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XXXXXXXXXX
—
PA
Enumeration date
08/03/2021
Last updated
08/03/2021
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