Individual
ANGELA BANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1198 W WYLIE AVE, WASHINGTON, PA 15301-1634
(724) 222-2148
Mailing address
1198 W WYLIE AVE, WASHINGTON, PA 15301-1634
(724) 222-2148
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011724
PA
Other
Enumeration date
12/16/2013
Last updated
02/19/2016
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