Individual
MRS. TRACEY RODNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
21203 W SHARP ST, ROCK HALL, MD 21661-1517
(410) 810-2622
(410) 778-2896
Mailing address
5608 BOUNDARY AVE, ROCK HALL, MD 21661-1604
(410) 778-7164
(410) 778-2896
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08897
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588707616
—
MD
05
—
1598808529
—
MD
Enumeration date
08/22/2019
Last updated
08/22/2019
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