Provider Demographics
NPI:1154813699
Name:CADE, PRECIOUS LARELL (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:PRECIOUS
Middle Name:LARELL
Last Name:CADE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:PRECIOUS
Other - Middle Name:LARELL
Other - Last Name:CADE-MAYO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:8815 COLUMBIA 100 PKWY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2361
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:877-776-8502
Practice Address - Street 1:8815 COLUMBIA 100 PKWY STE 4/5
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2361
Practice Address - Country:US
Practice Address - Phone:877-776-8502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06453235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist