Individual
PHYLIS AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3115 UNIVERSITY BLVD W, KENSINGTON, MD 20895-1807
(301) 679-0890
Mailing address
PO BOX 533, KENSINGTON, MD 20895-0533
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02688
MD
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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