Individual
MARY DIPALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 E KNIGHT AVE, COLLINGSWOOD, NJ 08108-1413
(703) 400-7037
Mailing address
50 E KNIGHT AVE, COLLINGSWOOD, NJ 08108-1413
(703) 400-7037
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007548
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00621100
NEW JERSEY DIVISION OFF CONSUMER AFFAIRS SPEECH LANGUAGEPATHOLOGIST
NJ
Enumeration date
10/29/2009
Last updated
10/11/2012
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