Individual
DOMINIQUE PERUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
600 PAOLI POINTE DR, PAOLI, PA 19301-2104
(610) 296-7100
Mailing address
2231 MULBERRY CT, LANSDALE, PA 19446-4369
(215) 359-7293
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011319
PA
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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