Provider Demographics
NPI:1164065546
Name:COMBS, SANDRA GENEVIEVE (PHD, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:GENEVIEVE
Last Name:COMBS
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
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Mailing Address - Street 1:4819 WALDEN LN STE 4880
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4826
Mailing Address - Country:US
Mailing Address - Phone:240-667-1423
Mailing Address - Fax:240-764-6764
Practice Address - Street 1:4819 WALDEN LN STE 4880
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4826
Practice Address - Country:US
Practice Address - Phone:240-667-1423
Practice Address - Fax:240-764-6764
Is Sole Proprietor?:No
Enumeration Date:2019-10-18
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHSP3920235Z00000X
MD09250235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist