Individual
MRS. CARISSA EASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
4691 TEN OAKS RD, DAYTON, MD 21036-1126
(410) 313-1571
Mailing address
9533 LONGVIEW DR, ELLICOTT CITY, MD 21042-2407
(443) 904-3176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05025
MD
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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