Individual
ANDREW MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
582 GREENVIEW LN, HAVERTOWN, PA 19083-4437
(610) 733-7194
Mailing address
582 GREENVIEW LN, HAVERTOWN, PA 19083-4437
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL004899L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017324490001
MA
PA
Enumeration date
04/13/2007
Last updated
06/25/2019
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