Individual
DESTINY MARIE KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
224 BEDFORD ST, HOLLIDAYSBURG, PA 16648-1716
(814) 977-5345
Mailing address
4300 W WHITEHALL RD, PA FURNACE, PA 16865-9553
(412) 983-8826
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLO12338
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SLO12338
—
PA
Enumeration date
06/13/2018
Last updated
06/13/2018
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