Organization
TRELLIS SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE GOODMAN-KESSLER (DIRECTOR OF OUT PATIENT SERVICES)
(410) 784-3845
Entity
Organization
Contact information
Practice address
164 LAKE FRONT DR, HUNT VALLEY, MD 21030-2215
(410) 785-3845
Mailing address
164 LAKE FRONT DR, HUNT VALLEY, MD 21030-2215
(410) 785-3845
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04277
MD
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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