Individual
CECILIA PORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4247 LOCUST ST APT 213, PHILADELPHIA, PA 19104-5260
(267) 565-9725
Mailing address
4247 LOCUST ST APT 213, PHILADELPHIA, PA 19104-5260
(267) 565-9725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSL002031
PA
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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