Provider Demographics
NPI:1003256405
Name:LAPSA, MAUREEN THERESA (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:THERESA
Last Name:LAPSA
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 THOMAS JOHNSON DR STE 201
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-5155
Mailing Address - Country:US
Mailing Address - Phone:301-639-6062
Mailing Address - Fax:
Practice Address - Street 1:188 THOMAS JOHNSON DR STE 201
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-5155
Practice Address - Country:US
Practice Address - Phone:301-639-6062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-28
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
MD06994235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty