Individual
ELLEN GRADY HUCKENPOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 OLD EMMORTON RD STE 210, BEL AIR, MD 21015-6123
(410) 515-4900
Mailing address
508 MURDOCK RD, BALTIMORE, MD 21212-2020
(410) 258-9033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02209
MD
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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