Individual
ELIZABETH JOAN VERGARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
7815 DEVON ST, PHILADELPHIA, PA 19118-3503
(215) 242-1217
Mailing address
7815 DEVON ST, PHILADELPHIA, PA 19118-3503
(215) 242-1217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007596
PA
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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