Individual
IVELYSSE CLAUDIO CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RSU/OFIC OF SPEC EDUC- SPEECH-LANGUAGE DEPARTMENT, 200 E NORTH AVENUE, ROOM 211, BALTIMORE, MD 21202
(443) 642-4204
Mailing address
2506 VIVALDI LN, GAMBRILLS, MD 21054-1411
(787) 447-5110
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06612
MD
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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