Organization
CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARELL DAVIS (BILLING SPECIALIST)
(301) 577-4333
Entity
Organization
Contact information
Practice address
9470 ANNAPOLIS RD STE 416, LANHAM, MD 20706-3000
(301) 577-4333
Mailing address
9470 ANNAPOLIS RD STE 416, LANHAM, MD 20706-3000
(301) 577-4333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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