Individual
MS. MARY PATRICIA MATEJKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2082 WHITEFORD RD, WHITEFORD, MD 21160-1404
(410) 452-8815
(410) 452-8815
Mailing address
PO BOX 169, WHITEFORD, MD 21160-0169
(410) 452-8815
(410) 452-8815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
M2270
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014269700
—
MD
Enumeration date
08/06/2007
Last updated
08/09/2007
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