Individual
MS. HALLIE ELISE MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
856 N 25TH ST, PHILADELPHIA, PA 19130-1834
(908) 917-0472
Mailing address
856 N 25TH ST, PHILADELPHIA, PA 19130-1834
(908) 917-0472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00750900
NJ
235Z00000X
Speech-Language Pathologist
SL011774
PA
235Z00000X
Speech-Language Pathologist
TL-2221
NJ
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
05/07/2013
Last updated
07/05/2022
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