Individual
REBECCA GONDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8638 VETERANS HWY, 1ST FLOOR, MILLERSVILLE, MD 21108-1422
(410) 729-4508
(410) 729-4526
Mailing address
PO BOX 15945, BELFAST, ME 04915-4054
(410) 729-4508
(410) 729-4526
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5032
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220025200
—
MD
Enumeration date
12/16/2006
Last updated
12/28/2016
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