Individual
THERESA KATHARINE THALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10320 QUARTERSTAFF RD, COLUMBIA, MD 21044-4138
(401) 313-6866
Mailing address
8247 ACADEMY RD, ELLICOTT CITY, MD 21043-5505
(410) 465-6550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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