| NPI | 1639555485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA RAINEY DEHAVEN Owner/ Speech Language Pathologist 215-345-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL006080L) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |