Individual
ANTONIA MENTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
191 S EAST ST, FREDERICK, MD 21701-5918
(301) 644-5000
Mailing address
191 S EAST ST, FREDERICK, MD 21701-5918
(240) 344-8322
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09577
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5416281P0002
—
MD
Enumeration date
10/14/2020
Last updated
10/21/2025
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