Provider Demographics
NPI:1497745970
Name:MANDEL, HELEN ADA (EDD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:ADA
Last Name:MANDEL
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10911 ROCKY MOUNT WAY
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3688
Mailing Address - Country:US
Mailing Address - Phone:301-649-1244
Mailing Address - Fax:
Practice Address - Street 1:10911 ROCKY MOUNT WAY
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-3688
Practice Address - Country:US
Practice Address - Phone:301-649-1244
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD649674235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist