Individual
BRIONA CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.CCC/SLP
Contact information
Practice address
100 COMMUNITY DR, SUITE 105, TOBYHANNA, PA 18466-8985
(570) 839-9975
(570) 839-3395
Mailing address
PO BOX 844, POCONO PINES, PA 18350-0844
(570) 269-1170
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009301
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
394532
MEDICARE
PA
Enumeration date
09/10/2009
Last updated
09/10/2009
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