Individual
TA-JSHENAE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CF
Contact information
Practice address
102 S HICKORY AVE, BEL AIR, MD 21014-3731
(410) 838-7300
Mailing address
102 S HICKORY AVE, BEL AIR, MD 21014-3731
(410) 838-7300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02257L
MD
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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