Provider Demographics
NPI:1588008494
Name:MCKELPHIN, ANNA CAMILLE (MS, EDS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:CAMILLE
Last Name:MCKELPHIN
Suffix:
Gender:F
Credentials:MS, EDS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7103 MURPHY CT
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-5428
Mailing Address - Country:US
Mailing Address - Phone:240-765-9380
Mailing Address - Fax:301-449-7672
Practice Address - Street 1:1200 1ST ST NE FL 9
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7953
Practice Address - Country:US
Practice Address - Phone:240-765-9380
Practice Address - Fax:630-214-8087
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-22
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist