Individual
MRS. PAMELA FIRESTONE TRAUTWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC, SLP
Contact information
Practice address
40 S 2ND ST, OAKLAND, MD 21550-1518
(301) 914-1351
(301) 334-7642
Mailing address
40 S 2ND ST, OAKLAND, MD 21550-1518
(301) 914-1351
(301) 334-7642
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06328
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541388500
—
MD
05
—
905202000
—
MD
Enumeration date
11/30/2018
Last updated
11/30/2018
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