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Individual

ANGELA MARIE HARVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
3075 W RIDGE PIKE, EAGLEVILLE, PA 19403-1538
(610) 265-4700
Mailing address
924 NORTHRIDGE DR, JEFFERSONVILLE, PA 19403-2997
(215) 805-2113

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009093
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1000022040002
MEDICAL ASSISTANCE
PA
Enumeration date
04/23/2008
Last updated
04/23/2008
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