Provider Demographics
NPI:1922398759
Name:BAUMEL, DEBORAH WAXMAN
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:WAXMAN
Last Name:BAUMEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 GREAT OAK RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-1856
Mailing Address - Country:US
Mailing Address - Phone:301-929-9523
Mailing Address - Fax:
Practice Address - Street 1:4201 GREAT OAK RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-1856
Practice Address - Country:US
Practice Address - Phone:301-929-9523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02760235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist