Doctor Name: | MRS. SYLVIA JOAN SMALL-EHILEN |
NPI Number: | 1215064027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CMT |
License Number: | MO1976 |
Business Practice Address: | 4007 34th St Mount Rainier, MD - 207121908 |
Business Phone Number: | 2022970224 |
Business Fax Number: | 3017734867 |
Mailing Address: | 2406 Virginia Ave Apt 103, LANDOVER |
State: | MD |
Postal Code: | 207853377 |
Phone Number: | 2022970224 |
Fax Number: | 3017734867 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MO1976 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |