Individual
INOKA TENNAKOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6334 CEDAR LN, COLUMBIA, MD 21044-3898
(410) 531-5300
Mailing address
5407 THUNDER HILL RD, COLUMBIA, MD 21045-2266
(443) 546-3419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05238
MD
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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