Individual
MR. DONALD EDWARD RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-4044
Mailing address
1014 MEADOW VIEW CIR, COLLEGEVILLE, PA 19426-3350
(610) 539-9398
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL001366L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01002071
ASHA CERTIFICATION
—
01
—
SL001366L
STATE LICENCE
PA
Enumeration date
08/30/2006
Last updated
07/08/2007
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