Individual
MARK THOMAS SEVERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
2901 SMITH AVE, BALTIMORE, MD 21208-4540
(410) 887-1212
Mailing address
2901 SMITH AVE, BALTIMORE, MD 21208-4540
(410) 887-1212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10010
MD
235Z00000X
Speech-Language Pathologist
TSLP6273
AZ
Other
Enumeration date
04/12/2010
Last updated
11/04/2021
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