Individual
ILANA STREB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
904 WASHINGTON RD STE F, WESTMINSTER, MD 21157-5838
(410) 871-2990
(410) 871-2990
Mailing address
904 WASHINGTON RD STE F, WESTMINSTER, MD 21157-5838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08220
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357086000
—
MD
Enumeration date
08/28/2017
Last updated
03/06/2019
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