Individual
MRS. KIMBERLY WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP, MS, CCC
Contact information
Practice address
1450 FURNACE AVE, GLEN BURNIE, MD 21060-7002
(410) 222-6911
Mailing address
1450 FURNACE AVE, GLEN BURNIE, MD 21060-7002
(410) 222-6911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04954
MD
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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