Individual
AJA CENTRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
822 MONTGOMERY AVE, NARBERTH, PA 19072-1937
(215) 220-2210
Mailing address
325 HAVERFORD AVE APT B1, NARBERTH, PA 19072-1934
(772) 323-5451
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL016179
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SL016179
SPEECH THERAPY LICENSE
—
Enumeration date
03/09/2022
Last updated
03/09/2022
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