Provider Demographics
NPI:1659845709
Name:MUNIZ, CAIRNA MARIE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CAIRNA
Middle Name:MARIE
Last Name:MUNIZ
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MISS
Other - First Name:CAIRNA
Other - Middle Name:
Other - Last Name:BODE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4850 BICKNELL RD
Mailing Address - Street 2:
Mailing Address - City:MARBURY
Mailing Address - State:MD
Mailing Address - Zip Code:20658-2205
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5980 RADIO STATION RD
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-3337
Practice Address - Country:US
Practice Address - Phone:240-466-2154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty