NPI 1912300583 · live from the CMS NPI Registry
Mark Baer
Speech-Language Pathologist, in Washington, DC. National Provider Identifier 1912300583, active.
NPI record
| NPI | 1912300583 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1200 1st St Ne, Washington, DC 20002 |
| Practice phone | 202-442-5885 |
| Mailing address | 3911 Moss Dr, Annandale, VA 22003 |
| Enumerated | September 26, 2014 |
| Last updated | September 26, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.