Individual
LACENA NOTTELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
100 THOMAS RUN RD, BEL AIR, MD 21015-1616
(410) 638-3823
Mailing address
6406 SEFTON AVE, BALTIMORE, MD 21214-1428
(616) 450-3628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05913
MD
Other
Enumeration date
12/08/2018
Last updated
12/08/2018
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