Individual
KATHLEEN SUSAN HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
31 WALKER AVE, BALTIMORE, MD 21208-4022
(410) 415-3515
(410) 459-9550
Mailing address
7111 PARK HEIGHTS AVE UNIT 312, BALTIMORE, MD 21215-1664
(917) 941-3768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
008085-1
NY
235Z00000X
Speech-Language Pathologist
Primary
08552
MD
Other
Enumeration date
11/25/2008
Last updated
11/20/2022
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