Provider Demographics
NPI:1750859716
Name:SCHORR, CARA M (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:M
Last Name:SCHORR
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 1:11839 DINWIDDIE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4459
Mailing Address - Country:US
Mailing Address - Phone:301-455-2455
Mailing Address - Fax:
Practice Address - Street 1:8100 MIDCOUNTY HWY
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-5100
Practice Address - Country:US
Practice Address - Phone:301-947-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-08
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04261235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD04261Medicaid