Individual
MENUCHA FAKHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8300 CARLSON LN STE 4, BALTIMORE, MD 21244-1309
(410) 887-0766
Mailing address
8300 CARLSON LN, BALTIMORE, MD 21244-1309
(410) 887-0766
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06694
MD
Other
Enumeration date
08/24/2011
Last updated
03/04/2020
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