NPI 1851162838 · live from the CMS NPI Registry
John Brock
Speech-Language Pathologist, in Washington, DC. National Provider Identifier 1851162838, active.
NPI record
| NPI | 1851162838 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 102 Irving St Nw, Washington, DC 20010 |
| Practice phone | 127-020-2877 |
| Mailing address | 9348 Cherry Hill Rd Apt 227, College Park, MD 20740 |
| Enumerated | January 10, 2024 |
| Last updated | July 19, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Speech-Language Pathologist, primary | 235Z00000X | 02889L (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.