Organization
DESIREE CAPPUCCIO
Active
Other names
Fairmount Speech and Swallowing Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE CAPPUCCIO M.S., CCC-SLP (OWNER)
(609) 892-2733
Entity
Organization
Contact information
Practice address
3470 TILDEN ST, PHILADELPHIA, PA 19129-1435
(609) 892-2733
Mailing address
3470 TILDEN ST, PHILADELPHIA, PA 19129-1435
(609) 892-2733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
10/04/2021
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