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Individual

DEMI NICOLE KOUVARIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
715 S 19TH ST APT 1, PHILADELPHIA, PA 19146-1801
(516) 996-8875
Mailing address
715 S 19TH ST APT 1, PHILADELPHIA, PA 19146-1801
(516) 996-8875

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL017254

Other

Enumeration date
09/09/2025
Last updated
09/09/2025
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