Individual
AMBERLYNN FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9518 GOOD LION RD, COLUMBIA, MD 21045-3948
(608) 890-5000
Mailing address
9518 GOOD LION RD, COLUMBIA, MD 21045-3948
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4818-154
WI
Other
Enumeration date
06/21/2019
Last updated
10/21/2020
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