Individual
STEPHANIE CORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
36 BAKER ST, ABERDEEN, MD 21001-2418
(410) 273-5518
Mailing address
2001 KNOTTY PINE DR, ABINGDON, MD 21009-2787
(410) 688-5900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06859
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06859
—
MD
Enumeration date
09/08/2019
Last updated
09/08/2019
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