Individual
JACOB LEONARD CREITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1413 WASHINGTON RD, WESTMINSTER, MD 21157-6940
(410) 751-3610
Mailing address
115 SUDBROOK LN, PIKESVILLE, MD 21208-4130
(410) 358-1997
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02776
MD
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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