Individual
DONNA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
TOWSON UNIVERSITY SLH CLINIC, 8000 YORK ROAD, TOWSON, MD 21252-0001
(410) 704-3905
(410) 704-6303
Mailing address
TOWSON UNIVERSITY SLH CLINIC, 8000 YORK ROAD, TOWSON, MD 21252-0001
(410) 704-3905
(410) 704-6303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02498
MD
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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