Individual
GWENDOLYN EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
194 THOMAS JOHNSON DR STE B, FREDERICK, MD 21702-4683
(301) 418-6434
(240) 566-3888
Mailing address
9101 WESLEYAN RD STE 100, INDIANAPOLIS, IN 46268-3103
(800) 603-6046
(317) 884-3388
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03432
MD
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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