Organization
CARE SPEECH LANGUAGE PATHOLOGY SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE DIANE COOPER PHD (SPEECH AND LANGUAGE PATHOLOGIST)
(202) 386-8745
Entity
Organization
Contact information
Practice address
9308 MIDLAND TURN, UPPER MARLBORO, MD 20772-5367
(202) 386-8745
(301) 423-5010
Mailing address
9308 MIDLAND TURN, UPPER MARLBORO, MD 20772-5367
(202) 386-8745
(301) 423-5010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000531
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP000531
DISTRICT OF COLUMBIA MEDICARE
DC
Enumeration date
11/09/2015
Last updated
11/09/2015
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