Individual
MS. LAURA M COSTANTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3975 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-5426
(215) 879-1000
(215) 879-3912
Mailing address
900 MICKLEY RD, APT. C1-1, WHITEHALL, PA 18052-5000
(610) 462-8202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008430
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015491130001
—
PA
Enumeration date
04/02/2007
Last updated
07/08/2007
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