Individual
GINA KOKOSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
65 LETITIA LN, MEDIA, PA 19063-4019
(610) 891-1187
Mailing address
65 LETITIA LN, MEDIA, PA 19063-4019
(610) 891-1187
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09149110
PA
Other
Enumeration date
01/03/2015
Last updated
01/03/2015
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