Individual
AUTUMN DZADOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
103 SHAWNEE TRL, VENETIA, PA 15367-1020
(412) 327-5554
Mailing address
102 ORTH DR, PITTSBURGH, PA 15202-1213
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL014562
PA
Other
Enumeration date
06/16/2019
Last updated
06/16/2019
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