Individual
CAROL BASILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
826 WINDERMERE AVE, DREXEL HILL, PA 19026-1540
(610) 446-1339
Mailing address
826 WINDERMERE AVE, DREXEL HILL, PA 19026-1540
(610) 446-1339
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL006481L
—
Other
Enumeration date
03/06/2010
Last updated
03/06/2010
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