Individual
ALLISON THARAKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
9101 2ND AVE, SILVER SPRING, MD 20910-2152
(240) 821-9868
Mailing address
17139 BRIARDALE RD, DERWOOD, MD 20855-2077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06616
MD
235Z00000X
Speech-Language Pathologist
41YS00672400
NJ
Other
Enumeration date
01/27/2011
Last updated
04/28/2016
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