| NPI | 1104150986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA CHERYL MASON Speech Language Pathologist 443-283-0618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |