Individual
TERESA MARIA LANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(410) 313-6708
Mailing address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
08253
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08253
MD DEPARTMENT OF HEALTH
MD
Enumeration date
08/03/2012
Last updated
03/05/2024
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