Individual
ALICIA LIVELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 DISSTON ST, PHILADELPHIA, PA 19111-4502
(267) 815-8544
Mailing address
339 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1547
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012647
PA
Other
Enumeration date
08/29/2017
Last updated
03/17/2018
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