Individual
GINA DIVALERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 OLD EAGLE SCHOOL RD, WAYNE, PA 19087-2006
(610) 225-2451
(610) 964-6166
Mailing address
445 OLD EAGLE SCHOOL RD, WAYNE, PA 19087-2006
(610) 225-2451
(610) 964-6166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010990
PA
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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