Provider Demographics
NPI:1225380256
Name:METROPOLITAN SPEECH PATHOLOGY GROUP
Entity Type:Organization
Organization Name:METROPOLITAN SPEECH PATHOLOGY GROUP
Other - Org Name:KATHLEEN HOSTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOSTY
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:202-237-2927
Mailing Address - Street 1:4601 CONNECTICUT AVE NW
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-5700
Mailing Address - Country:US
Mailing Address - Phone:202-237-2927
Mailing Address - Fax:202-244-8250
Practice Address - Street 1:4601 CONNECTICUT AVE NW
Practice Address - Street 2:SUITE ONE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-5700
Practice Address - Country:US
Practice Address - Phone:202-237-2927
Practice Address - Fax:202-244-8250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC000002235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty