Provider Demographics
NPI:1982363164
Name:REID-DUBOSE, DENISE M (SPEECH PATHOLOGIST)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:M
Last Name:REID-DUBOSE
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
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Mailing Address - Street 1:9905 MILL CENTRE DR APT 262
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3397
Mailing Address - Country:US
Mailing Address - Phone:443-864-1597
Mailing Address - Fax:
Practice Address - Street 1:HOWARD COUNTY PUBLIC SCHOOL SYSTEM
Practice Address - Street 2:10910 CLARKSVILLE PIKE
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042210
Practice Address - Country:US
Practice Address - Phone:410-313-3148
Practice Address - Fax:410-313-2543
Is Sole Proprietor?:No
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD09799235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist