Provider Demographics
NPI:1285302356
Name:FERRARA, EDEN ELIZABETH (BA)
Entity type:Individual
Prefix:MISS
First Name:EDEN
Middle Name:ELIZABETH
Last Name:FERRARA
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3338 KREITLER RD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-1012
Mailing Address - Country:US
Mailing Address - Phone:443-243-3607
Mailing Address - Fax:
Practice Address - Street 1:3338 KREITLER RD
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:MD
Practice Address - Zip Code:21050-1012
Practice Address - Country:US
Practice Address - Phone:443-243-3607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant