Provider Demographics
NPI:1093295404
Name:BISHOP, MARIA F (CCC- SLP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:F
Last Name:BISHOP
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 1:318 SEATTLE SLEW PL
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-2574
Mailing Address - Country:US
Mailing Address - Phone:717-877-1534
Mailing Address - Fax:
Practice Address - Street 1:318 SEATTLE SLEW PL
Practice Address - Street 2:
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-2574
Practice Address - Country:US
Practice Address - Phone:717-877-1534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-15
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY241118235Z00000X
MD09618235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist