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Individual

ILISSA ABOVITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
295 BUCK RD STE 203, SOUTHAMPTON, PA 18966-1748
(215) 485-5018
Mailing address
91 MULBERRY DR, SOUTHAMPTON, PA 18966-2856

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS00869700
NJ
235Z00000X
Speech-Language Pathologist
Primary
SL015695
PA

Other

Enumeration date
09/21/2021
Last updated
09/21/2021
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