Individual
ANNA FORMICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4596
(410) 578-8600
Mailing address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4596
(410) 578-8600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09391
MD
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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