Provider Demographics
NPI:1346319332
Name:RAND, MARQUITA BELEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARQUITA
Middle Name:BELEN
Last Name:RAND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5430 LYNX LN # 127
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-2302
Mailing Address - Country:US
Mailing Address - Phone:410-730-1731
Mailing Address - Fax:
Practice Address - Street 1:5430 LYNX LN # 127
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2302
Practice Address - Country:US
Practice Address - Phone:410-730-1731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02481235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist