Individual
DIVYA BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5525 BALLENGER CREEK PIKE, FREDERICK, MD 21703-7015
(240) 236-5700
Mailing address
191 S EAST ST, FREDERICK, MD 21701-5918
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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