MEDICARE: MIRIAM ADLER SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1366150294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRIAM ADLER SLP

Provider Business Mailing Address
First Line	:	119 BRYN MAWR AVE
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-3012
Country	:	US
Telephone Number	:	484-557-0157
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 BRYN MAWR AVE
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-3012
Country	:	US
Telephone Number	:	484-557-0157
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2022
Last Update Date	:	11/09/2022

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Directions to “ MIRIAM ADLER SLP” Practice Location

Language	Start Address	Practice Location

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