Doctor Name: | DR. ANNAMARIA GERMAINE BASILI |
NPI Number: | 1023122769 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 00004 |
Business Practice Address: | 10 N Greene St Baltimore, MD - 212011524 |
Business Phone Number: | 4106057000 |
Business Fax Number: | 4106057702 |
Mailing Address: | 400 Grist Mill Xing, SEVERNA PARK |
State: | MD |
Postal Code: | 211462321 |
Phone Number: | 4109878353 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 00004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |