Individual
SARAH ROESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3701 FERNHILL AVE, BALTIMORE, MD 21215-6133
(410) 396-0604
Mailing address
200 E NORTH AVE, BALTIMORE, MD 21202-5984
(443) 984-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08904
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08904
MARYLAND DEPARTMENT OF HEALTH
MD
01
—
14173294
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
Enumeration date
06/06/2019
Last updated
06/06/2019
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