Individual
MRS. BELLA PUCHAEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 WALKER AVE, PIKESVILLE, MD 21208-4022
(410) 415-3515
Mailing address
6216 LINCOLN AVE, BALTIMORE, MD 21209-3325
(901) 692-0780
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000003730
TN
Other
Enumeration date
10/20/2014
Last updated
05/07/2024
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