Organization
SPEECH LEAP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMARA SHALOM M.S., CCC-SLP (OWNER)
(410) 394-8794
Entity
Organization
Contact information
Practice address
1700 REISTERSTOWN RD STE 226, PIKESVILLE, MD 21208-1416
(410) 394-8794
(443) 264-1279
Mailing address
1700 REISTERSTOWN RD STE 226, PIKESVILLE, MD 21208-1416
(410) 394-8794
(443) 264-1279
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
08011
MD
Other
Enumeration date
10/31/2016
Last updated
03/22/2023
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