NPI 1457829616
Larissa Ann Street
Practice location
- Address
- 700 Glasgow St, Cambridge, MD 21613-1738
- Phone
- (410) 228-4747
- Mailing address
- 26601 Quantico Creek Rd, Hebron, MD 21830-2183
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1457829616
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Nov 2018
- Record last updated
- 6 Nov 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.