National Provider Identifier Database

GAMMON E GRESHAM, SLPA – NPI #1144049479
Speech-Language Assistant


Contact Information

GAMMON E GRESHAM, SLPA
2300 SMALLWOOD DR W
WALDORF, MD20603-4447
Phone: 301-753-1769
Fax:
Website:
Specialty Taxonomy Code
* Speech-Language Assistant 2355S0801X

* Indicates primary specialty

NPI Profile & details for GAMMON E GRESHAM

NPI Number 1144049479
Credentials SLPA
Entity Individual
Enumeration date 10/03/2024
Last updated 10/03/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • MD License #: 00918A
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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