Provider Demographics
NPI:1669368809
Name:LIMANSKY, ETHAN ALEXANDER
Entity type:Individual
Prefix:
First Name:ETHAN
Middle Name:ALEXANDER
Last Name:LIMANSKY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2574 JUNCO CT
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-3688
Mailing Address - Country:US
Mailing Address - Phone:443-823-9550
Mailing Address - Fax:
Practice Address - Street 1:2574 JUNCO CT
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-3688
Practice Address - Country:US
Practice Address - Phone:443-823-9550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist