Provider Demographics
NPI:1922132653
Name:COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Entity Type:Organization
Organization Name:COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Other - Org Name:UNIVERSITY OF MARYLAND, COLLEGE PARK, HEARING & SPEECH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIR
Authorized Official - Prefix:DR
Authorized Official - First Name:NAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RATNER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:301-405-4217
Mailing Address - Street 1:110 LEFRAK HALL
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20742-0001
Mailing Address - Country:US
Mailing Address - Phone:301-405-4218
Mailing Address - Fax:301-314-2023
Practice Address - Street 1:100 LEFRAK HALL
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20742-0001
Practice Address - Country:US
Practice Address - Phone:301-405-4218
Practice Address - Fax:301-314-2023
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-15
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty