Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anna Formica, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1124643101

Anna Formica, CCC-SLP is a Speech-Language Pathologist in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2020.

Licensed in
MD
In the registry since
2020
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1708 W Rogers Ave
Baltimore, MD 21209-4596
Phone: (410) 578-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 09391 (MD)

Record details

NPI number1124643101
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJune 15, 2020
Last updated in NPPESJune 15, 2020
Certification dateJune 15, 2020
Mailing address1708 W Rogers Ave, Baltimore, MD 21209-4596

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