Individual
GABRIELLE H WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6212 WALNUT ST, PHILADELPHIA, PA 19139-3706
(201) 741-9490
Mailing address
2637 E HUNTINGDON ST, PHILADELPHIA, PA 19125-3705
(201) 741-9490
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013418
PA
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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