Individual
MISS KYOMI DANA GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., CCC-SLP
Contact information
Practice address
8360 OLD YORK RD, ELKINS PARK, PA 19027-1576
(215) 780-1424
Mailing address
8360 OLD YORK RD, ELKINS PARK, PA 19027-1576
(215) 780-1424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012870
PA
Other
Enumeration date
04/26/2010
Last updated
11/03/2016
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