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Organization

CHILDRENS SPEECH AND LANGUAGE CENTER

Active
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Organization

CHILDRENS SPEECH AND LANGUAGE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALYSA CHRISTIANO M.S., CCC-SLP (ADMINISTRATOR)
(585) 415-2590
Entity
Organization

Contact information

Practice address
815 RITCHIE HWY STE 118, SEVERNA PARK, MD 21146-4192
(410) 975-5863
(410) 630-3857
Mailing address
772 EASTERN POINT RD, ANNAPOLIS, MD 21401-6945
(585) 415-2590

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
02/22/2024
Last updated
04/12/2024
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