Individual
HOLLY BODONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2509 S 4TH ST, PHILADELPHIA, PA 19148-4712
(781) 454-8458
Mailing address
1727 S 9TH ST APT 2, PHILADELPHIA, PA 19148-1641
(781) 454-8458
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013143
PA
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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