Organization · Type 2 NPI

Pediatric Speech Lab

Speech-Language Pathologist · Waldorf, MD

NPI number 1720524598 Active

Practice location

11350 Pembrooke Sq Ste 313
Waldorf, MD 20603-4809

Call (301) 885-0033 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Assistant Behavior Analyst 106E00000XNone listed
Speech-Language Pathologist Primary 235Z00000XSLP000879 (DC)
Speech-Language Pathologist 235Z00000X08341 (MD)
Community/Behavioral Health Agency 251S00000XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1720524598

Pediatric Speech Lab's National Provider Identifier is 1720524598, issued on Jan 17, 2017. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Waldorf, MD. The record was last updated on Sep 1, 2022.