Individual
JACKIE MARIE BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1989 N 63RD ST STE 300, PHILADELPHIA, PA 19151-2693
(484) 326-0251
Mailing address
1989 N 63RD ST STE 300, PHILADELPHIA, PA 19151-2693
(215) 390-6581
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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