Individual
NATHAN SHRECKENGOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5980 RADIO STATION RD, LA PLATA, MD 20646-3337
(301) 932-6610
Mailing address
113 MCWILLIAMS RD, NEW BETHLEHEM, PA 16242-9665
(814) 952-2504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MD
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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