Individual
MS. LISA MICHELLE DYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
124 GOUCHER WAY, CHURCHVILLE, MD 21028-1218
(410) 937-3338
Mailing address
1000 S MARLYN AVE, BALTIMORE, MD 21221-5999
(410) 887-0112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07609
MD
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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