Individual
HOLLIE DUDROW PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC SLP
Contact information
Practice address
2225 OLD EMMORTON RD STE 210, BEL AIR, MD 21015-6123
(410) 515-4900
Mailing address
3008 DILLON ST, BALTIMORE, MD 21224-4941
(301) 514-4051
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419800000
—
MD
Enumeration date
01/24/2019
Last updated
11/10/2021
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