Organization
MID ATLANTIC SPEECH PATHOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY RICHARDSON (EXECUTIVE DIRECTOR)
(302) 239-2750
Entity
Organization
Contact information
Practice address
724 YORKLYN RD, SUITE 260, HOCKESSIN, DE 19707
(302) 239-2750
Mailing address
724 YORKLYN RD, SUITE 260, HOCKESSIN, DE 19707-8704
(302) 239-2750
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
300526
DE
Other
Enumeration date
11/16/2012
Last updated
03/14/2013
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