| NPI | 1174916795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNDA METELLUS Speech Language Pathologist 301-661-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MD 04927) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: MD 04927) | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2023-07-07 |