Individual
KARI FILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
638 BRANDYWINE PKWY, WEST CHESTER, PA 19380-4278
(610) 436-3600
(610) 436-3606
Mailing address
638 BRANDYWINE PKWY, WEST CHESTER, PA 19380-4278
(610) 436-3600
(610) 436-3606
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007173
PA
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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