Individual
ALLISON CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2119 SAINT ALBANS ST, PHILADELPHIA, PA 19146-1224
(215) 605-6777
Mailing address
1657 TUCKERSTOWN RD, DRESHER, PA 19025-1306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012434
PA
Other
Enumeration date
06/04/2015
Last updated
03/10/2020
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