Provider Demographics
NPI:1215381827
Name:SPEECH START THERAPY
Entity Type:Organization
Organization Name:SPEECH START THERAPY
Other - Org Name:ANAT SOHN
Other - Org Type:Other Name
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANAT
Authorized Official - Middle Name:K
Authorized Official - Last Name:SOHN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:240-246-7484
Mailing Address - Street 1:727 LAKE VARUNA DR
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2171
Mailing Address - Country:US
Mailing Address - Phone:240-246-7484
Mailing Address - Fax:240-306-1569
Practice Address - Street 1:727 LAKE VARUNA DR
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-2171
Practice Address - Country:US
Practice Address - Phone:240-246-7484
Practice Address - Fax:240-306-1569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05839235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty