Individual
KATHLEEN O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 CHESTER AVE, PHILADELPHIA, PA 19143-4929
(215) 729-5153
Mailing address
4333 PINE ST APT 2, PHILADELPHIA, PA 19104-5194
(757) 822-3184
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL015773
PA
Other
Enumeration date
10/17/2021
Last updated
10/19/2021
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