Individual
CORINNE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N PAYSON ST, BALTIMORE, MD 21217-1121
(410) 396-0776
Mailing address
817 PROVIDENCE RD, BALTIMORE, MD 21286-2964
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07953
MD
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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