Individual
WANDA MILLER KOCHANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(410) 730-5486
Mailing address
6821 CARLINDA AVE, COLUMBIA, MD 21046-1108
(410) 730-5486
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01574
MD
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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