Speech & Language Rehab Services LLC
Clinic/Center in Montgomery Village, MD. Organization (NPI-2).
NPI number1093459554
StatusActive
Last updated in NPPESOct 6, 2023
Details
- NPI
- 1093459554
- Entity type
- Organization (NPI-2)
- Legal business name
- Speech & Language Rehab Services LLC
- Organization subpart
- No
- Enumeration date
- Apr 21, 2022
- Certification date
- Oct 6, 2023
- Last updated
- Oct 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
10025 Dellcastle RdMontgomery Village, MD 20886-1318
Phone 347-724-3821
Mailing address
10025 Dellcastle RdMontgomery Village, MD 20886-1318
Authorized official
Lana Alexander
Owner
3477243821
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