Individual
CAROLINE NEREIRDA MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
13313 OLD COLUMBIA PIKE, SILVER SPRING, MD 20904-5233
(443) 923-4170
Mailing address
3 EASTPORT CT, LUTHERVILLE, MD 21093-3803
(410) 967-3741
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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