Individual
MS. CHANGCHANG YAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-7895
Mailing address
1500 THAMES ST UNIT 308, BALTIMORE, MD 21231-3467
(517) 974-3518
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10272103223
MD DRIVER LICENSE
MD
Enumeration date
06/05/2022
Last updated
06/05/2022
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