Individual
MRS. CONNIE CUDDEBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
469 WEADLEY RD, WAYNE, PA 19087-1934
(610) 971-0927
Mailing address
469 WEADLEY RD, WAYNE, PA 19087-1934
(610) 971-0927
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL005066L
PA
Other
Enumeration date
04/02/2007
Last updated
07/09/2007
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