Individual
DANA LORIN WANYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC, SLP
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(443) 923-2652
Mailing address
20 FAIRBANKS ST, BRIGHTON, MA 02135-2504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
016645
NY
235Z00000X
Speech-Language Pathologist
Primary
6895
MA
Other
Enumeration date
05/24/2007
Last updated
05/27/2022
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