Individual
MRS. CINTHYA M GONZALEZ REVERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 N AMERICAN STREET, PHILADELPHIA, PA 19133
(215) 425-6203
(215) 425-6204
Mailing address
444 N STERLING RD, ELKINS PARK, PA 19027-2033
(787) 585-3619
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2074
PR
235Z00000X
Speech-Language Pathologist
Primary
SL012792
PA
Other
Enumeration date
10/09/2014
Last updated
03/17/2018
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