Provider Demographics
NPI:1760645097
Name:DELGADO, ANNA M (MA-SLP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MA-SLP
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:LIMA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA-SLP
Mailing Address - Street 1:10412 VISTA GRANDE DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-4055
Mailing Address - Country:US
Mailing Address - Phone:301-532-6373
Mailing Address - Fax:
Practice Address - Street 1:10412 VISTA GRANDE DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-4055
Practice Address - Country:US
Practice Address - Phone:301-532-6373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05195235Z00000X
VA2202004552235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist