Individual
MRS. JOANN M PELLEGRINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1105 PIPESTEM PL, ROCKVILLE, MD 20854-5530
(301) 340-8042
Mailing address
1105 PIPESTEM PL, ROCKVILLE, MD 20854-5530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000529
DC
235Z00000X
Speech-Language Pathologist
01028
MD
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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