Individual
KAYLA LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4950 W 23RD ST, SUITE 1, ERIE, PA 16506-5802
(814) 459-2755
(814) 456-4873
Mailing address
4950 W 23RD ST, SUITE 1, ERIE, PA 16506-5802
(814) 459-2755
(814) 456-4873
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013060
PA
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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