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Individual

MACKENZIE BAUMGART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., CCC-SLP

Contact information

Practice address
1700 REISTERSTOWN RD STE 219, PIKESVILLE, MD 21208-2920
(410) 846-4005
Mailing address
1700 REISTERSTOWN RD, PIKESVILLE, MD 21208-1416

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10060
MD
235Z00000X
Speech-Language Pathologist
SL014827
PA

Other

Enumeration date
10/15/2019
Last updated
08/04/2025
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