Individual
ANNA K NOWACZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10450 LOTTSFORD RD, MITCHELLVILLE, MD 20721-2734
(301) 541-5017
(214) 305-3399
Mailing address
109 WOODBROOK LN, BALTIMORE, MD 21212-1035
(585) 734-7893
(214) 305-3399
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07852
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07852
—
MD
Enumeration date
04/18/2019
Last updated
04/18/2019
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