Provider Demographics
NPI:1255751004
Name:ORMOND, MAUREEN K (MA - CCC/ SP)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:K
Last Name:ORMOND
Suffix:
Gender:F
Credentials:MA - CCC/ SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3021 RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TOANO
Mailing Address - State:VA
Mailing Address - Zip Code:23168-9602
Mailing Address - Country:US
Mailing Address - Phone:202-549-8181
Mailing Address - Fax:
Practice Address - Street 1:3021 RIDGE DR
Practice Address - Street 2:
Practice Address - City:TOANO
Practice Address - State:VA
Practice Address - Zip Code:23168-9602
Practice Address - Country:US
Practice Address - Phone:202-549-8181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-20
Last Update Date:2014-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202002256235Z00000X
MD00602235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist