Individual
KATHRYN O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2124 PINE ST, 2R, PHILADELPHIA, PA 19103-6560
(484) 225-3054
Mailing address
2124 PINE ST, 2R, PHILADELPHIA, PA 19103-6560
(484) 225-3054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010617
PA
Other
Enumeration date
01/29/2014
Last updated
11/09/2016
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