Provider Demographics
NPI:1528395472
Name:TORRES, MARIAELISA (CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:MARIAELISA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9801 GEORGIA AVENUE
Mailing Address - Street 2:SUITE 229
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-5812
Mailing Address - Country:US
Mailing Address - Phone:301-754-2200
Mailing Address - Fax:301-754-2226
Practice Address - Street 1:9801 GEORGIA AVENUE
Practice Address - Street 2:SUITE 229
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902
Practice Address - Country:US
Practice Address - Phone:301-754-2200
Practice Address - Fax:301-754-2226
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCSLP000277235Z00000X
MDSLP02060235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCSLP000277OtherSPEECH THERAPY
MDSLP02060OtherSPEECH THERAPY