Individual
MS. EMILY LUISA MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
401 OLNEY SANDY SPRING RD, SANDY SPRING, MD 20860-1008
(240) 740-0960
Mailing address
9323 MEREDITH AVE, LAUREL, MD 20723-1879
(301) 379-1876
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08818
MD
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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