Individual
KATY T REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP CCC/SLP
Contact information
Practice address
509 E JOPPA RD, TOWSON, MD 21286-5404
(410) 375-5163
(866) 612-9084
Mailing address
509 E JOPPA RD, TOWSON, MD 21286-5404
(410) 375-5163
(866) 612-9084
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07850
MD
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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