Individual
JEROME N BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
5710 NEWBURY ST., BALTIMORE, MD 21209
(443) 415-5477
Mailing address
5710 NEWBURY ST STE 3, BALTIMORE, MD 21209-3657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06732
MD
Other
Enumeration date
03/21/2018
Last updated
12/27/2018
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