Individual
KERRY ELISABETH FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
4313 GREEN GLADE RD, PHOENIX, MD 21131-1703
(410) 241-8304
Mailing address
4313 GREEN GLADE RD, PHOENIX, MD 21131-1703
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07437
MD
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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