Individual
LORI COSTANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC/SLP
Contact information
Practice address
80 PECHINS MILL RD, COLLEGEVILLE, PA 19426-3222
(484) 680-8305
Mailing address
80 PECHINS MILL RD, COLLEGEVILLE, PA 19426-3222
(484) 680-8305
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007592
PA
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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