Individual
DEBERA MARIE REZNITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 WALKER AVE STE 512, BALTIMORE, MD 21208-4022
(410) 415-3515
Mailing address
3414 GLEN AVE, BALTIMORE, MD 21215-3912
(410) 664-9371
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01026
MD
Other
Enumeration date
06/06/2019
Last updated
07/04/2022
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