Individual
MS. CATHY ANNE RUNNELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
13708 FAIRRIDGE DR, SILVER SPRING, MD 20904-5443
(301) 879-1981
Mailing address
13708 FAIRRIDGE DR, SILVER SPRING, MD 20904-5443
(301) 879-1981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01053
MD
235Z00000X
Speech-Language Pathologist
2202003676
VA
235Z00000X
Speech-Language Pathologist
8338
NC
235Z00000X
Speech-Language Pathologist
SLP000244
DC
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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