Individual
MRS. AYESHA FAZAL GANGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 LACRUE AVE, GLEN MILLS, PA 19342-1062
(484) 840-1529
(484) 840-1560
Mailing address
9 LACRUE AVENUE, GLEN MILLS, PA 19342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008110
PA
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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