Advanced Dysphagia Diagnostics LLC
NPI #1891339156 in Shippenville, Pennsylvania
Provider Information
- NPI Number
- 1891339156
- Entity Type
- Organization
- Organization Name
- Advanced Dysphagia Diagnostics LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Oct 30, 2019
- Last Updated
- Oct 30, 2019
Practice Location
- Address
- 206 MAIN ST
- City
- Shippenville
- State
- Pennsylvania
- ZIP Code
- 16254-3906
- Phone
- (909) 213-5967
Authorized Official
- Name
- KIMBERLY A GEMMELL, SLP
- Title
- OWNER
- Phone
- (909) 213-5967
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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