Provider Demographics
NPI:1336696079
Name:METRO SPEECH THERAPY LLC
Entity Type:Organization
Organization Name:METRO SPEECH THERAPY LLC
Other - Org Name:SPEECH START THERAPY LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SOHN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:240-200-5305
Mailing Address - Street 1:1145 TURKEY POINT RD
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-4109
Mailing Address - Country:US
Mailing Address - Phone:240-200-5305
Mailing Address - Fax:240-200-5305
Practice Address - Street 1:800 S FREDERICK AVE STE 101
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-4151
Practice Address - Country:US
Practice Address - Phone:240-200-5305
Practice Address - Fax:240-200-5305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-09
Last Update Date:2022-01-11
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