Individual
ERICA LYNN PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
122 DEFENSE HWY, ANNAPOLIS, MD 21401-7069
(410) 573-1064
Mailing address
122 DEFENSE HWY, ANNAPOLIS, MD 21401-7069
(410) 573-1064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04697
MD
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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