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NPI Code Detail

MEDICARE: EMILY LUDOVICO SLP

MEDICARE:   EMILY  LUDOVICO  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
1235Z00000XSpeech-Language Pathologist09042MD

General Provider Information

NPI Number : 1467103002
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY LUDOVICO SLP
Provider Business Mailing Address
First Line : 8 QUAILS NEST CT
Second Line :
City : NOTTINGHAM
State : MD
Zip : 21236-5604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8508 LOCH RAVEN BLVD STE I
Second Line :
City : TOWSON
State : MD
Zip : 21286-2354
Country : US
Telephone Number : 443-469-3426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2022
Last Update Date : 01/14/2022

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Directions to “ EMILY LUDOVICO SLP” Practice Location

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