Individual
KATHERINE LEIGH STAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
9357 MELLENBROOK RD, COLUMBIA, MD 21045-1838
(410) 313-6922
Mailing address
3225 BROOKMEDE RD, ELLICOTT CITY, MD 21042-2461
(443) 561-5571
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02918L
MD
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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