Organization
BALTIMORE SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA B SHOFF CCC-SLP (CLINICAL DIRECTOR/OWNER)
(443) 834-2660
Entity
Organization
Contact information
Practice address
1 SPARKS STATION RD, SPARKS GLENCOE, MD 21152-9334
(443) 834-2660
Mailing address
1 SPARKS STATION RD, SPARKS GLENCOE, MD 21152-9334
(443) 834-2660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538358171
—
MD
Enumeration date
12/03/2020
Last updated
04/21/2024
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