Kids' Village Therapy, LLC
NPI #1104150986 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1104150986
- Entity Type
- Organization
- Organization Name
- Kids' Village Therapy, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Sep 25, 2009
- Last Updated
- Sep 25, 2009
Practice Location
- Address
- 5060 DORSEY HALL DR
- Address 2
- SUITE 204
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21042-7884
- Phone
- (443) 283-0618
Authorized Official
- Name
- DANA CHERYL MASON, M.A., SLP
- Title
- SPEECH LANGUAGE PATHOLOGIST
- Phone
- (443) 283-0618
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Occupational Therapist - Pediatrics — Pediatrics |
| Speech-Language Pathologist |
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