Individual
MRS. GEIZA IZABEL KELLER-SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP A
Contact information
Practice address
12937 BEETHOVEN BLVD, SILVER SPRING, MD 20904
(301) 204-9608
Mailing address
12937 BEETHOVEN BLVD, SILVER SPRING, MD 20904-6874
(301) 204-9608
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2355S0801X
Speech-Language Assistant
00119A
MD
2355S0801X
Speech-Language Assistant
Primary
SLPA000001
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00119A
SPEECH LANGUAGE PATHOLOGY ASSISTANT
MD
01
—
SLPA000001
SPEECH LANGUAGE PATHOLOGY ASSISTANT
DC
Enumeration date
11/06/2009
Last updated
05/14/2018
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