Provider Demographics
NPI:1073760856
Name:JANAT M. GRITZ, P.A.
Entity Type:Organization
Organization Name:JANAT M. GRITZ, P.A.
Other - Org Name:SPEECH-LANGUAGE PATHOLOGY MATTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:M
Authorized Official - Last Name:GRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:301-622-2282
Mailing Address - Street 1:200 KIMBLEWICK DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6316
Mailing Address - Country:US
Mailing Address - Phone:301-622-2282
Mailing Address - Fax:301-622-9050
Practice Address - Street 1:200 KIMBLEWICK DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-6316
Practice Address - Country:US
Practice Address - Phone:301-622-2282
Practice Address - Fax:301-622-9050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00147235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty