Individual
MS. AMBER VILLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
900 PEMBERTON RD, BALTIMORE, MD 21212-1620
(443) 809-3600
Mailing address
900 PEMBERTON RD, BALTIMORE, MD 21212-1620
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
09968
MD
235Z00000X
Speech-Language Pathologist
Primary
SL008680
PA
Other
Enumeration date
01/05/2007
Last updated
09/29/2021
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