Organization
KENNEDY KRIEGER INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN EDWARD DUFFY (SLP CLINICAL FELLOW)
(443) 923-3220
Entity
Organization
Contact information
Practice address
707 N BROADWAY APT 301, BALTIMORE, MD 21205-1832
(443) 923-1870
Mailing address
1741 ASHLAND AVE, BALTIMORE, MD 21205-1531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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