Individual
MS. MELISSA A BIDLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6569 N CHARLES ST, PHYSICIANS PAVILION WEST, SUITE 401, BALTIMORE, MD 21204-6831
(443) 849-2087
Mailing address
6569 N CHARLES ST, PHYSICIANS PAVILION WEST, SUITE 401, BALTIMORE, MD 21204-6831
(443) 849-2087
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07031
MD
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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