Individual
LISA RUTH TADDEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6600 S TROTTER RD, CLARKSVILLE, MD 21029-1248
(410) 313-7142
Mailing address
6089 YONA CT, MOUNT AIRY, MD 21771-7446
(301) 524-5319
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02666
MD
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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