Provider Demographics
NPI:1639326416
Name:GRITZ, JANET M (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:M
Last Name:GRITZ
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 KIMBLEWICK DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6316
Mailing Address - Country:US
Mailing Address - Phone:301-622-2282
Mailing Address - Fax:301-622-9050
Practice Address - Street 1:200 KIMBLEWICK DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-6316
Practice Address - Country:US
Practice Address - Phone:301-622-2282
Practice Address - Fax:301-622-9050
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00147235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist