Provider Demographics
NPI:1386026938
Name:NATIONAL SPEECH LANGUAGE THERAPY CENTER
Entity Type:Organization
Organization Name:NATIONAL SPEECH LANGUAGE THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SABRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GELFOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-493-0023
Mailing Address - Street 1:20400 OBSERVATION DR
Mailing Address - Street 2:104
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-4085
Mailing Address - Country:US
Mailing Address - Phone:301-540-0445
Mailing Address - Fax:
Practice Address - Street 1:20400 OBSERVATION DR
Practice Address - Street 2:104
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-4085
Practice Address - Country:US
Practice Address - Phone:301-540-0445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-19
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
MD235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty