Individual
MS. LOURDES SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
4020 ORMOND ST, PHILADELPHIA, PA 19124-5307
(267) 475-3852
Mailing address
4020 ORMOND ST, PHILADELPHIA, PA 19124-5307
(267) 475-3852
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00831000
NJ
235Z00000X
Speech-Language Pathologist
SL012856
PA
Other
Enumeration date
12/01/2015
Last updated
10/11/2016
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