Individual
KELLY AMANDA ROSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(443) 923-1872
Mailing address
2931 E BIDDLE ST, BALTIMORE, MD 21213-3939
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08928
MD
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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