Individual
MS. CAROL HEADLEY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12301 ACADEMY WAY, ROCKVILLE, MD 20852-2000
(301) 984-1223
Mailing address
12301 ACADEMY WAY, ROCKVILLE, MD 20852-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03644
MD
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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