Individual
LAUREL WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
400 VICTORY FARM DRIVE, GAITHERSBURG, MD 20877
(240) 740-6770
Mailing address
850 HUNGERFORD DR, ROCKVILLE, MD 20850-1718
(240) 740-5500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10886
MD
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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