Individual
AYESHA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, S-LP(C), SLP CCC
Contact information
Practice address
530 MACOBY ST, PENNSBURG, PA 18073-1112
(215) 679-8076
Mailing address
530 MACOBY ST, PENNSBURG, PA 18073-1112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL015081
PA
Other
Enumeration date
10/30/2020
Last updated
06/27/2021
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