Zaire Euard Durant-young SLP

NPI 1083802706 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1083802706
Gender Male
Enumeration Date 10/09/2007
Last Updated 10/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3975 CONSHOHOCKEN AVE
PHILADELPHIA PA, 19131-5426, US
Phone (215) 879-1000
Fax (215) 879-3912
Business Location
3801 POPLAR ST
#2F
PHILADELPHIA PA, 19104-1113, US
Phone (410) 746-1403
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Pennsylvania
License Number SL008921
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According to our database, Mr. Zaire Euard Durant-young SLP NPI is 1083802706, taxonomy code is 235Z00000X and license number is SL008921, license state is located at Pennsylvania. Zaire Euard Durant-young SLP physically located at 3975 Conshohocken Ave, Philadelphia PA, 19131-5426. NPI Number Zaire Euard Durant-young SLP has the Individual type.

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1083802706 NPI number is provided on an as is basis without warranty of any kind. 1083802706 is maintained by the National Plan & Provider Enumeration System. The contents of Zaire Euard Durant-young SLP are for informational purposes only.