Individual
KAITLYN RUTH DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2193 PALOMINO DR, WARRINGTON, PA 18976-2171
(267) 549-5513
Mailing address
2193 PALOMINO DR, WARRINGTON, PA 18976-2171
(267) 549-5513
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009970
PA
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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