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Organization

COMMUNITY SPEECH THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY LOPATKA MA, CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(301) 606-8278
Entity
Organization

Contact information

Practice address
164 W MAIN ST, SUITE A, NEW MARKET, MD 21774-6279
(301) 606-8278
Mailing address
11240 COUNTRY CLUB RD, NEW MARKET, MD 21774-6735
(301) 606-8278

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
01932
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
407180800
MD
Enumeration date
01/11/2011
Last updated
01/11/2011
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