Provider Demographics
NPI:1467924795
Name:ARATA, JODI CHRISTINE (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:CHRISTINE
Last Name:ARATA
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:CHRISTINE
Other - Last Name:ARATA-CURTIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP-CCC
Mailing Address - Street 1:3507 GREENSPRING AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-1306
Mailing Address - Country:US
Mailing Address - Phone:707-235-5965
Mailing Address - Fax:
Practice Address - Street 1:3507 GREENSPRING AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-1306
Practice Address - Country:US
Practice Address - Phone:707-235-5965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-27
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07894235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist