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Individual

MS. ANN BUCKLER ADDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
330 BRYN MAWR AVE, BALA CYNWYD, PA 19004-2822
(610) 668-2778
Mailing address
330 BRYN MAWR AVE, BALA CYNWYD, PA 19004-2822
(610) 668-2778

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL000939L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SL000939L
SPEECH PATHOLOGIST
PA
Enumeration date
01/26/2006
Last updated
10/17/2007
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