Whalio Doctors

NPI 1457829616

Larissa Ann Street

Practitioner Speech-Language Pathologist Cambridge, MD

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
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 06716 (MD)

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.