Individual
ERIN MARIE MCTAVISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP #4183
Contact information
Practice address
11690 NEELSVILLE CHURCH RD, GERMANTOWN, MD 20876-4127
(301) 353-0972
Mailing address
3623 SPRINGHOLLOW LN, FREDERICK, MD 21704-7370
(301) 728-9221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04183
MD
235Z00000X
Speech-Language Pathologist
04183
MH
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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