Healthcare Provider Details

I. General information

NPI: 1386202299
Provider Name (Legal Business Name): ELISHEVA ZIFFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2019
Last Update Date: 06/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3705 W ROGERS AVE
BALTIMORE MD
21215-4525
US

IV. Provider business mailing address

2530 FARRINGDON RD
BALTIMORE MD
21209-2543
US

V. Phone/Fax

Practice location:
  • Phone: 410-396-0567
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: