| NPI | 1093120248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DEMILIA Speech Language Pathologist 215-622-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL004247L) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2015-12-10 |