Organization
KIDMUNICATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA A SAMPSON (MANAGING DIRECTOR)
(484) 367-7131
Entity
Organization
Contact information
Practice address
489 DEVON PARK DRIVE, SUITE 301, WAYNE, PA 19087
(484) 367-7131
(484) 367-7148
Mailing address
489 DEVON PARK DRIVE,, SUITE 301, WAYNE, PA 19087
(484) 367-7131
(484) 367-7148
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL003599L
—
Other
Enumeration date
01/07/2013
Last updated
08/29/2018
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