Provider Demographics
NPI:1528538212
Name:SCHWALBE, CYNTHIA
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:SCHWALBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27180 POINT LOOKOUT RD
Mailing Address - Street 2:
Mailing Address - City:LOVEVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20656-2013
Mailing Address - Country:US
Mailing Address - Phone:301-475-0260
Mailing Address - Fax:
Practice Address - Street 1:27180 POINT LOOKOUT RD
Practice Address - Street 2:
Practice Address - City:LOVEVILLE
Practice Address - State:MD
Practice Address - Zip Code:20656-2013
Practice Address - Country:US
Practice Address - Phone:301-475-0620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03169235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD15396Medicaid