Individual
MARVA SHAND MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 1ST ST NE, WASHINGTON, DC 20002-3361
(202) 673-7385
Mailing address
12319 QUILT PATCH LN, BOWIE, MD 20720-4358
(202) 550-3342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01085388
MD
251300000X
Local Education Agency (LEA)
0049635
DC
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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