Individual
KRISZTINA MADAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
10220 WETHERBURN RD, ELLICOTT CITY, MD 21042-1682
(410) 313-2819
Mailing address
10220 WETHERBURN RD, ELLICOTT CITY, MD 21042-1682
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10893
MD
235Z00000X
Speech-Language Pathologist
SA14624
FL
Other
Enumeration date
07/25/2017
Last updated
08/06/2024
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