Individual
HEATHER GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4025 CHESTNUT ST, PHILADELPHIA, PA 19104-3081
(516) 765-5346
Mailing address
1837 S ROSEWOOD ST, PHILADELPHIA, PA 19145-2313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011425
PA
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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