Individual
DAVIDA LIGHTSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
10400 ROOSEVELT BLVD, REHAB DEPT, PHILADELPHIA, PA 19116-3905
(215) 698-5784
Mailing address
265 W MOUNT PLEASANT AVE, APT B9, PHILADELPHIA, PA 19119-2458
(215) 821-8338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009828
PA
Other
Enumeration date
06/27/2010
Last updated
06/27/2010
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