Most Relevant Information
Provider Data
| NPI Number: | 1003029331 |
| Provider Name: | VICTORIA DIANE WANK CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 04111 |
Most Important Dates
| Enumeration Date: | 05/07/2007 |
| Last Updated: | 02/21/2014 |
Provider Practice Location
6501 N CHARLES ST
TOWSON
MD
212046819
Practice Location Phone/Fax
| Phone: | 4109384411 |
| Fax: |
Provider Mailing Location
7936 BELRIDGE RD
APT. K
BALTIMORE
MD
212363620
Provider Mailing Phone/Fax
| Phone: | 4438462001 |
| Fax: |