Dezra Adams, SLP-CCC/L
Speech-Language Pathologist, in Philadelphia, PA. Individual provider (NPI-1).
NPI number1083140073
StatusActive
Last updated in NPPESJun 20, 2019
Details
- NPI
- 1083140073
- Entity type
- Individual (NPI-1)
- Name
- Ms. Dezra Adams
- Credential
- SLP-CCC/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 11, 2017
- Last updated
- Jun 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SL007253 | PA | Yes |
Practice location
7715 Crittenden St#196
Philadelphia, PA 19118-4421
Phone 215-713-3870
Mailing address
7715 Crittenden St#196
Philadelphia, PA 19118-4421
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