Individual
DESIREE CAPPUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3470 TILDEN ST, PHILADELPHIA, PA 19129-1435
(609) 892-2733
(267) 627-5861
Mailing address
3470 TILDEN ST, PHILADELPHIA, PA 19129-1435
(609) 892-2733
(267) 627-5861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS00693300
NJ
235Z00000X
Speech-Language Pathologist
Primary
SL013435
PA
Other
Enumeration date
06/23/2017
Last updated
10/04/2021
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