1154449304 NPI number — ALDERMAN SPEECH PATHOLOGY SERVICES, LLC

Table of content: (NPI 1154449304)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154449304 NPI number — ALDERMAN SPEECH PATHOLOGY SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALDERMAN SPEECH PATHOLOGY SERVICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154449304
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11544 LOCKWOOD DR APT A1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SILVER SPRING
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20904-2426
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-353-3455
Provider Business Mailing Address Fax Number:
301-680-5355

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
825 WASHINGTON BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21230-2324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-821-5765
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DRAUGHON
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
ANTHONY
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
240-353-3455

Provider Taxonomy Codes

  • Taxonomy code: 261QH0700X , with the licence number:  04022 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4089022 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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