Individual
ELIZABETH SUE REAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 S PROVIDENCE RD, WALLINGFORD, PA 19086-6333
(610) 565-3232
Mailing address
353 S OLD MIDDLETOWN RD, MEDIA, PA 19063-4704
(931) 952-9854
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSL002084
PA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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