Healthcare Provider Details
I. General information
NPI: 1427986561
Provider Name (Legal Business Name): CAROLINE EMILY SCHWARTZENBURG CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5900 METRO DR
BALTIMORE MD
21215-3207
US
IV. Provider business mailing address
1338 N FREMONT AVE
BALTIMORE MD
21217-2730
US
V. Phone/Fax
- Phone: 410-318-6780
- Fax:
- Phone: 301-997-5681
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 11952 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: