Individual
REBECCA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4640 WEDGEWOOD BLVD STE 104&105, FREDERICK, MD 21703-7114
(240) 457-9558
Mailing address
1301 MEADOWCREST DR, SHAVERTOWN, PA 18708-9203
(570) 406-8655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02570L
MD
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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