Individual
JOHANNA TIEBOSCH EBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
194 THOMAS JOHNSON DR STE B, FREDERICK, MD 21702-4683
(301) 418-6434
Mailing address
9101 WESLEYAN RD STE 100, INDIANAPOLIS, IN 46268-3103
(800) 603-6046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08767
MD
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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