| Kids' Village Therapy, Llc | |
|
5060 Dorsey Hall Dr Suite 204 Ellicott City MD 21042-7884 | |
| (443) 283-0618 | |
| (443) 283-0347 |
| Full Name | Kids' Village Therapy, Llc |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 5060 Dorsey Hall Dr, Ellicott City, Maryland |
| Authorized Official Name and Position | Dana Cheryl Mason (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Contact | 4432830618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids' Village Therapy, Llc 5060 Dorsey Hall Dr Suite 204 Ellicott City MD 21042-7884 Ph: (443) 283-0618 | Kids' Village Therapy, Llc 5060 Dorsey Hall Dr Suite 204 Ellicott City MD 21042-7884 Ph: (443) 283-0618 |
| NPI Number | 1104150986 |
|---|---|
| Provider Enumeration Date | 09/25/2009 |
| Last Update Date | 09/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104150986 | NPI | - | NPPES |
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