Provider Demographics
NPI:1225817216
Name:SZAMSKI, MITCHELL
Entity Type:Individual
Prefix:MR
First Name:MITCHELL
Middle Name:
Last Name:SZAMSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12530 MERRITT AVE
Mailing Address - Street 2:
Mailing Address - City:FORK
Mailing Address - State:MD
Mailing Address - Zip Code:21051-9718
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12530 MERRITT AVE
Practice Address - Street 2:
Practice Address - City:FORK
Practice Address - State:MD
Practice Address - Zip Code:21051-9718
Practice Address - Country:US
Practice Address - Phone:443-567-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10431235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist