Individual
TRINA JAVAHERFOROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7127 BOXFORD RD, BALTIMORE, MD 21215-1703
(410) 358-0938
Mailing address
7127 BOXFORD RD, BALTIMORE, MD 21215-1703
(410) 358-0938
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08076
MD
Other
Enumeration date
05/27/2016
Last updated
12/17/2021
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