Individual
HEATHER STRAKA PECORARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 IMLA ST, BALTIMORE, MD 21224-6142
(410) 396-9086
Mailing address
7513 IROQUOIS AVE, SPARROWS POINT, MD 21219-2123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07275
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07275
MD LICENSE
MD
Enumeration date
08/15/2019
Last updated
08/15/2019
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