Individual
KAYLA UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 DAVIDSONVILLE RD, CROFTON, MD 21114-1632
(410) 721-1000
Mailing address
105 QUIET WATERS PL, ANNAPOLIS, MD 21403-2705
(412) 613-8201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07344
MD
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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