Individual
JOAN PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4212 CHESTNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19104-3015
(215) 382-3171
Mailing address
4212 CHESTNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19104-3015
(215) 382-3171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL005128L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019367780003
PROVIDER NUMBER
PA
Enumeration date
03/05/2008
Last updated
03/05/2008
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