Individual
FAINA KOSTYUKOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
11721 KEMP MILL RD, SILVER SPRING, MD 20902-1722
(240) 740-5920
Mailing address
850 HUNGERFORD DR, ROCKVILLE, MD 20850-1718
(240) 740-5500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09842
MD
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/05/2020
Last updated
09/02/2021
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