Individual
BROOKE ABBONIZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
321 NORRISTOWN RD STE 220, AMBLER, PA 19002-2793
(215) 646-5400
Mailing address
212 BROWN ST APT 4C, PHILADELPHIA, PA 19123-2952
(856) 905-4399
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013882
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W216188477
AETNA
NJ
Enumeration date
08/04/2018
Last updated
08/04/2018
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