Provider Demographics
NPI:1649412073
Name:EFROS, DAVID B (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:EFROS
Suffix:
Gender:M
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20881
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-0881
Mailing Address - Country:US
Mailing Address - Phone:443-660-8228
Mailing Address - Fax:
Practice Address - Street 1:1825 RAMBLING RIDGE LN
Practice Address - Street 2:APARTMENT # 301
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-1205
Practice Address - Country:US
Practice Address - Phone:443-660-8228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-31
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05396235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist