Provider Demographics
NPI:1841860459
Name:LABBE, TASHA MONIQUE (MS,CCC-SLP)
Entity type:Individual
Prefix:
First Name:TASHA
Middle Name:MONIQUE
Last Name:LABBE
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 HAMDEN CT
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-3205
Mailing Address - Country:US
Mailing Address - Phone:301-717-6030
Mailing Address - Fax:
Practice Address - Street 1:2401 HAMDEN CT
Practice Address - Street 2:
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-3205
Practice Address - Country:US
Practice Address - Phone:301-717-6030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-26
Last Update Date:2021-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07693235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist