Individual
JOHANNA W IMBESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
13400 TAMARACK RD, SILVER SPRING, MD 20904-1467
(301) 989-5672
Mailing address
13400 TAMARACK RD, SILVER SPRING, MD 20904-1467
(301) 989-5672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03525
MD
Other
Enumeration date
12/27/2010
Last updated
11/21/2020
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