Individual
JEAN LOUISE DELA TORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
1672 CARLYLE DR. APT. E, CROFTON, MD 21114
(315) 289-3959
Mailing address
1672 CARLYLE DR. APT. E, CROFTON, MD 21114
(315) 289-3959
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05907
MD
Other
Enumeration date
03/18/2011
Last updated
06/22/2015
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