Individual
LISA ANNE SLOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
2401 N 54TH ST # 0R, PHILADELPHIA, PA 19131-2423
(215) 879-4023
Mailing address
2401 N 54TH ST # 0R, PHILADELPHIA, PA 19131-2423
(215) 879-4023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL-005611L
PA
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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