MEDICARE: PATRICIA REGINA OURAND MS, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	01134	MD

General Provider Information

NPI Number	:	1457479743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA REGINA OURAND MS, CCC-SLP

Provider Business Mailing Address
First Line	:	400 E PRATT ST
Second Line	:	SUITE 830
City	:	BALTIMORE
State	:	MD
Zip	:	21202-3116
Country	:	US
Telephone Number	:	443-759-3153
Fax Number	:	443-759-3001

Provider Business Practice Location Address
First Line	:	400 E PRATT ST
Second Line	:	SUITE 830
City	:	BALTIMORE
State	:	MD
Zip	:	21202-3116
Country	:	US
Telephone Number	:	443-759-3153
Fax Number	:	443-759-3001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	11/16/2011

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