Mary Revucky, SPEECH PATHOLOGIST

NPI 1700800380 · on the registry since 2006 · sole proprietor

Practice

Address: 1400 Blackhorse Hill Rd
Coatesville, PA 19320
Phone: (610) 384-7711
Fax: (610) 380-4327
Organisation at this address: Coatesville Vamc
Coatesville Vamc
Coatesville Vamc
Coatesville Va Medical Center
Coatesville Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 326

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania