NPI 1104209816 · live from the CMS NPI Registry
Building Bridges Therapies, LLC
Speech-Language Pathologist, in Upper Marlboro, MD. National Provider Identifier 1104209816, active.
NPI record
| NPI | 1104209816 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 8539 Grandhaven Ave, Upper Marlboro, MD 20772 |
| Practice phone | 202-688-1038 |
| Mailing address | 1725 I St Nw, Suite 300, Washington, DC 20006 |
| Enumerated | June 30, 2015 |
| Last updated | June 30, 2015 |
| Authorized official | Deniere Allen, Owner/Operator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | SLP000200 (DC) |
| Speech-Language Pathologist, primary | 235Z00000X | 05004 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.