Individual
REENA BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6300 RED CEDAR PL, UNIT 109, BALTIMORE, MD 21209-5407
(845) 367-2100
Mailing address
6300 RED CEDAR PLACE, UNIT 109, BALTIMORE, MD 21209
(845) 367-2100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07602
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46-052-8711
—
MD
Enumeration date
03/02/2017
Last updated
03/02/2017
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