| NPI | 1407284755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BANNETT Practice Administrator 215-735-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL002576L) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |