Individual
ELIZABETH HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
859 N LAWRENCE ST, PHILADELPHIA, PA 19123-2109
(609) 420-9906
Mailing address
859 N LAWRENCE ST, PHILADELPHIA, PA 19123-2109
(609) 420-9906
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
O1-0001830
DE
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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