Individual
KATHRYN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 FRANKLIN ST, MIDDLETOWN, MD 21769-7961
(240) 566-0200
Mailing address
403 FRANKLIN ST, MIDDLETOWN, MD 21769-7961
(240) 566-0200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03588
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407900178
—
MD
Enumeration date
11/21/2018
Last updated
11/21/2018
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