Provider Demographics
NPI:1780653113
Name:BELLMONT SPEECH LANGUAGE PARTNERS
Entity type:Organization
Organization Name:BELLMONT SPEECH LANGUAGE PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:GABRIELLA
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS SLP-CCC
Authorized Official - Phone:301-254-9931
Mailing Address - Street 1:3540 CRAIN HWY
Mailing Address - Street 2:414
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1303
Mailing Address - Country:US
Mailing Address - Phone:301-254-9931
Mailing Address - Fax:
Practice Address - Street 1:3540 CRAIN HWY
Practice Address - Street 2:414
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1303
Practice Address - Country:US
Practice Address - Phone:301-254-9931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004714235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty