Individual
DEVON BAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14500 BUSTLETON AVE STE 1A, PHILADELPHIA, PA 19116-1188
(215) 613-6523
(215) 613-6527
Mailing address
14500 BUSTLETON AVE STE 1A, PHILADELPHIA, PA 19116-1188
(215) 613-6523
(215) 613-6527
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS00822200
NJ
235Z00000X
Speech-Language Pathologist
Primary
SL012534
PA
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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