Individual
REBECCA MOFFATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
7812 LAKE SHORE DR, OWINGS, MD 20736-3141
(410) 257-0169
Mailing address
7812 LAKE SHORE DR, OWINGS, MD 20736-3141
(410) 257-0169
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03931
MD
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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