Individual
MRS. HALIE PEVETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2326 E HAZZARD ST, PHILADELPHIA, PA 19125-3132
(409) 728-8493
Mailing address
2326 E HAZZARD ST, PHILADELPHIA, PA 19125-3132
(409) 728-8493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012606
PA
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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