Organization
COMMUNICATION BUILDERS THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLISA SANDIDGE MS, CCC-SLP (OWNER)
(301) 485-9302
Entity
Organization
Contact information
Practice address
3507 DIXON ST, TEMPLE HILLS, MD 20748-4214
(301) 485-9302
Mailing address
3507 DIXON ST, TEMPLE HILLS, MD 20748-4214
(301) 485-9302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06555
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33590101
—
MD
Enumeration date
09/26/2012
Last updated
04/25/2013
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