Healthcare Provider Details

I. General information

NPI: 1679294854
Provider Name (Legal Business Name): EVELINA VALCIN BIEN-AIME CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2022
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E NORTH AVE
BALTIMORE MD
21202-5910
US

IV. Provider business mailing address

200 E NORTH AVE
BALTIMORE MD
21202-5910
US

V. Phone/Fax

Practice location:
  • Phone: 443-984-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number10285
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: