Individual
MRS. KATHERINE JANE JANICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
29770 THREE NOTCH ROAD, SUITE 201, CHARLOTTE HALL, MD 20622
(301) 290-0800
(301) 290-1313
Mailing address
29770 THREE NOTCH ROAD, SUITE 201, CHARLOTTE HALL, MD 20622
(301) 290-0800
(301) 290-1313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0844
MD
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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