National Provider Identifier Database

CONNOR D DIETZ, B.S. SLPA – NPI #1700350857
Speech-Language Assistant


Contact Information

CONNOR D DIETZ, B.S. SLPA
5980 RADIO STATION RD
LA PLATA, MD20646-3337
Phone: 410-212-0974
Fax:
Website:
Specialty Taxonomy Code
* Speech-Language Assistant 2355S0801X

* Indicates primary specialty

NPI Profile & details for CONNOR D DIETZ

NPI Number 1700350857
Credentials B.S. SLPA
Entity Individual
Enumeration date 01/11/2019
Last updated 01/11/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers
  • MD License #: 00156A
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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