Provider Demographics
NPI:1366150294
Name:ADLER, MIRIAM (SLP)
Entity type:Individual
Prefix:
First Name:MIRIAM
Middle Name:
Last Name:ADLER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 BRYN MAWR AVE
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3012
Mailing Address - Country:US
Mailing Address - Phone:484-557-0157
Mailing Address - Fax:
Practice Address - Street 1:119 BRYN MAWR AVE
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3012
Practice Address - Country:US
Practice Address - Phone:484-557-0157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist